Active NPI
Sahra Yusuf Adan, NURSE PRACTITONER
- Family Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61501577
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- CHI Franciscan Health at Home
- Eden Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61501577 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mso Washington, Inc. | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family Medicine, WA
-
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
- NPI 1104974419
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- University Place, WA
- NPI 1972919249
-
- Home Health Agency
- Tukwila, WA
- NPI 1003356403
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.