Farduwsa Hassan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3016548 Issued in KY

Practice address

2940 Hebron Park Dr Ste 101
Hebron, KY 41048-9535

Phone

(404) 934-0150

NPI assigned

Aug 19, 2021

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: farduwsa.hassan@krogerhealth.eclinicaldirectplus.com
• Direct secure messaging: leilatelehealth.farduwsahassan@154369.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leila Community Care

  dba Leila Urgent Care

  • Multi-Specialty Clinic/Center
  • Hebron, KY
  • NPI 1144979550

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1417623471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 HEBRON PARK DR STE 101",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489535",
            "telephone_number": "404-934-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 HEBRON PARK DR STE 101",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489535",
            "telephone_number": "404-934-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "FARDUWSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Graessle, RN
• Matthew Robert Graessle, DPT
• Shannon Gray
• Amy Smith Haney, MD
• Paul Eric Haskell, LMT
• Makayla Hayes
• Healing Hands Chiropractic Center
• Healinghandschiropracticcenter
• Katrina Marie Hearld, RBT
• Hebron Chiropractic

• Family Nurse Practitioner in Hebron, KY
• Providers in Hebron, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.