Faisal Ahmed Ismail, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2425719 Issued in MN

Practice address

330 4TH St SW Ste 9-B
Willmar, MN 56201-3374

Phone

(320) 455-2702

NPI assigned

Aug 3, 2017

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Samah Home Health Care LLC

  • Home Health Agency
  • Willmar, MN
  • NPI 1639487069
  NPD

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477078178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 4TH ST SW STE 9-B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013374",
            "telephone_number": "320-455-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 4TH ST SW STE 9-B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013374",
            "telephone_number": "320-455-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "FAISAL",
        "middle_name": "AHMED",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2425719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina A. Huisinga, MSW, LICSW
• Frederick W Hund, MD
• Fadumo Hussein
• Fatuma Abdullahi Hussein
• Infinia at Willmar
• Hodo Ismail
• Ladan Ismail
• John Paul Iverson, DDS
• Taylor Elizabeth Iverson, DPT
• Linda A Jackson, DDS

• Home Health Registered Nurse in Willmar, MN
• Providers in Willmar, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.