Nicole F Abraham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R215401 Issued in MD

Practice address

5875 Allentown Rd
Suitland, MD 20746-4570

Phone

(301) 702-2003

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.abraham.1@9428.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Maryland Faculty Physicians Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Columbia, MD
  • NPI 1972986271
  Medicare reassignment NPD
• University of Maryland Family Medicine Associates, P.a.

  • Specialist
  • Baltimore, MD
  • NPI 1053424994
  Medicare reassignment NPD
• University of Maryland Family Medicine Associates, P.a.

  • Specialist
  • Baltimore, MD
  • NPI 1417764010
  NPD
• Kim a Kelly, M.D., P.C.

  • Prevention Professional
  • Suitland, MD
  • NPI 1871957761
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1225664808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 N BERWICK LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 ALLENTOWN RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464570",
            "telephone_number": "301-702-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "NICOLE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R215401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Bridge to Care LLC
• A.a Sheena Care LLC
• Ethiopia Abebe, MD
• Aczobi Medical Nuclear Medicine LLC
• Joan Ametha Adams
• Idayat Layla Adetoro
• Muzna Adil, M.D.
• Khadijah Agbere

• Family Nurse Practitioner in Suitland, MD
• Providers in Suitland, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.