Nana ABA Nduom, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD60584256 Issued in WA

Practice address

16771 NE 80TH St Ste 108
Redmond, WA 98052-3959

Phone

(425) 414-8799

Fax

(425) 217-2427

NPI assigned

Apr 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• ABA Nduom Professional name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Washington University School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• ABA Nduom MD PLLC

  • Psychiatry Physician
  • Redmond, WA
  • NPI 1174479133
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1386088029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16771 NE 80TH ST STE 108",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523959",
            "telephone_number": "425-414-8799",
            "fax_number": "425-217-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16771 NE 80TH ST STE 108",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523959",
            "telephone_number": "425-414-8799",
            "fax_number": "425-217-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUOM",
        "first_name": "NANA",
        "middle_name": "ABA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "ML60377124",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "ML60377124",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60584256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABA",
            "last_name": "NDUOM",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Justine Nay, LMHC, SUPD
• Natasha Nay
• Javier Nazar, MD
• Negin Nazarian, D.D.S
• Charisma Jariem Nazario-Hill, LMT
• Neal O'Neal, Inc
• Nelson Chiropractic Office, LTD, PS
• Curtis E Nelson, DC
• Kaylee Nelson, PT, DPT
• Arne Ness, D.D.S.

• Psychiatry Physician in Redmond, WA
• Providers in Redmond, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.