Individual provider Active NPI

Sahra Yusuf Adan, NURSE PRACTITONER

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1407623135
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61501577 Issued in WA
Practice address
1112 S Cushman Ave
Tacoma, WA 98405-3631
Phone
(253) 681-6626
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61501577 WA
Family Nurse Practitioner 363LF0000X AP61501577 WA Primary

Addresses

Primary practice location

1112 S Cushman Ave
Tacoma, WA 98405-3631

Mailing address

1112 S Cushman Ave
Tacoma, WA 98405-3631
Phone (206) 763-5277

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516002671 WA Practitioner - Nurse Practitioner 8921449232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mso Washington Inc 14 clinicians

Practice addresses (Care Compare)

33400 8TH Ave S
Suite 232
Federal Way, WA 98003-6382
Phone (253) 584-3577

Hospital & facility affiliations

  • Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
  • CHI Franciscan Health at Home Home health agency, University Place, WA, CCN 507124
  • Eden Home Health Home health agency, Tukwila, WA, CCN 507128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61501577WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mso Washington, Inc. Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Mar 26, 2024 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Mar 26, 2024 Accepting new patients

Locations

31405 18th Ave S
Federal Way, WA 98003
Phone (253) 681-6600

33400 8th Ave S
Ste 232
Federal Way, WA 98003

4903 108th St SW
Tacoma, WA 98499
Phone (253) 584-3577

1112 S Cushman Ave
Tacoma, WA 98405
Phone (253) 593-2144

Interoperability endpoints

  • Direct secure messaging: sahra.adan@589522414665732.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1407623135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S CUSHMAN AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053631",
            "telephone_number": "206-763-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S CUSHMAN AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053631",
            "telephone_number": "253-681-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAN",
        "first_name": "SAHRA",
        "middle_name": "YUSUF",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61501577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61501577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.