Active NPI
Nabeel Shaaban
- Peer Specialist
- Centralia, WA
National Provider Identifier
1407579451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1720 S Gold St
Centralia, WA 98531-8951 - Phone
- (360) 261-6930
- NPI assigned
- Sep 23, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
1720 S Gold St
Centralia, WA 98531-8951
Mailing address
100 Kerr Pkwy Apt 35
Lake Oswego, OR 97035-1473
Phone (971) 335-4744
Other names 1
- Mo Shaaban
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1407579451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KERR PKWY APT 35",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970351473",
"telephone_number": "971-335-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S GOLD ST",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985318951",
"telephone_number": "360-261-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAABAN",
"first_name": "NABEEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MO",
"last_name": "SHAABAN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.