Nicole Abdullah, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60514722 Issued in WA

Practice address

1201 S Miller St Ste a
Wenatchee, WA 98801-3201

Phone

(509) 663-8711

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

No

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

• Iora Health Colorado, P.C.

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1568991511

  CO

  Medicare reassignment
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1619376456

  AZ

  Medicare reassignment
• Jeffrey D. Wessler, M.D., P.C.

  • Clinic/Center
  • New York, NY
  • NPI 1902318603

  MD

  Medicare reassignment
• One Medical, P.C.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1144886839

  NC

  Medicare reassignment
• Iora Health Colorado, P.C.

  • Internal Medicine Physician
  • Glendale, CO
  • NPI 1891205399
  NPD
• One Medical, P.C.

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1780240796
  NPD
• One Medical, P.C.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1932669462
  NPD
• Iora Health Texas, PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1912566514
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CO, MD, AZ, GA, NC5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

• Nicole Castleman Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2023.

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1285032268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MILLER ST STE A",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013201",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15814",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13108",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4860",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60514722",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1547278",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007287",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11030",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5845",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285032268",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVH LNI",
            "identifier": "339454",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE WVH",
            "identifier": "P01461864",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CASTLEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• 509 Nutrition & Diabetes Care, PLLC
• A Woman'S Perspective Healthcare, P.S.
• Laurel Kathleen Aaberg, PHARMD
• Aaron P Kelly DDS, PS
• Amr Abd-Al-Ghaffar, MD
• Farah Abdulrazzak, MD
• Alicia Lucille Abel, REGISTERED NURSE
• Jessie H. Abercrombie, SUDP-T
• Nora A Abouammo
• Raja Siham Abouammo

• All providers in Wenatchee, WA
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.