Active NPI
Fadumo Mohamud
- Registered Nurse
- Vancouver, WA
National Provider Identifier
1376450361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60989224
- Practice address
- 14204 NE Salmon Creek Ave
Vancouver, WA 98686-9600 - Phone
- (360) 546-9788
- NPI assigned
- Aug 25, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60989224 | WA | Primary |
Addresses
Primary practice location
14204 NE Salmon Creek Ave
Vancouver, WA 98686-9600
Mailing address
14204 NE Salmon Creek Ave
Vancouver, WA 98686-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1376450361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14204 NE SALMON CREEK AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986869600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14204 NE SALMON CREEK AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986869600",
"telephone_number": "360-546-9788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMUD",
"first_name": "FADUMO",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60989224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.