Soudabeh Abdi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

855207 Issued in NV

Practice address

291 N Pecos Rd
Henderson, NV 89074-1918

Phone

(702) 616-9471

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Doctors Ramanathan PLLCGroup PAC ID 8628125341, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Family Doctors Ramanathan, PLLC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1437258274
  Medicare reassignment Care Compare group NPD
• Family Doctors Ramanathan, PLLC

  • Non-Pharmacy Dispensing Site
  • Las Vegas, NV
  • NPI 1568754075
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1295454387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 YOUNGDALE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891347864",
            "telephone_number": "702-601-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741918",
            "telephone_number": "702-616-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDI",
        "first_name": "SOUDABEH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "855207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eClinicalWorks",
            "affiliation": "N",
            "address_1": "291 N Pecos Rd",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890741918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandy Abarca
• Denise Abbott
• Sofia Abdala
• Amin Abdallah, DDS
• Mohammad Abdelhady
• Laurie Abdo
• Arthur Abdoulin, D.M.D.
• Christine Abdulkarim, RD
• Imelda Estiamba Abejuela, RN
• Lolita Abelardo

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.