Faisal Kadar Abdi, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

8218 Issued in MN

Practice address

12312 3Rd St NE
Blaine, MN 55434-1982

Phone

(763) 300-9128

NPI assigned

Jun 12, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: abdi.faisal.006.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: abdi.faisal.004.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: abdi.faisal.002.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: abdi.faisal.008.0230015@vprwc.meditab.direct-ci.com

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1265000772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12312 3RD ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341982",
            "telephone_number": "763-300-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12312 3RD ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341982",
            "telephone_number": "763-300-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDI",
        "first_name": "FAISAL",
        "middle_name": "KADAR",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "8218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arab Abdi
• Ridwan Abdi
• Suhur Abdi
• Adan Ahmed Abdihoosh
• Ayanle A Abdihoosh
• Fahima Abdihoosh

• Adult Health Nurse Practitioner in Blaine, MN
• Providers in Blaine, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.