Idil Mohamed

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

I00000003004 Issued in TN

Practice address

1425 W Running Brook Rd
Nashville, TN 37209-5045

Phone

(651) 354-3596

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1326792367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W RUNNING BROOK RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372095045",
            "telephone_number": "651-354-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W RUNNING BROOK RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372095045",
            "telephone_number": "651-354-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "IDIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "TN",
            "license": "I00000003004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q071509",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7632013797",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant fax solution",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "1425 W Running Brook Rd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372095045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayvon Modjarrad, M.D., PH.D.
• Caylin Cervetti Moen
• Kenneth P Moffat, M.D.
• Soroush Moghaddam
• Nazanin Moghbeli, MD
• Miriam Ramadhan Mohammad, PHARMD
• Mohammaddyab Saleh Mohammad, BBA
• Saeed Mohammad, MD
• Zena Mohammad, RPH
• Lida Mohammadkhah, ANP

• Home Health Aide in Nashville, TN
• Providers in Nashville, TN by specialty
• Home Health Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.