Individual provider Active NPI

Nadria Yasmeen Kasumu

  • Acute Care Nurse Practitioner
  • Elkins Park, PA
National Provider Identifier
1497356190
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP022787 Issued in PA
Practice address
7401 Mountain Ave
Elkins Park, PA 19027-3022
Phone
(215) 964-0989
NPI assigned
Nov 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X SP022787 PA
Gerontology Nurse Practitioner 363LG0600X SP022787 PA
Acute Care Nurse Practitioner 363LA2100X SP022787 PA Primary

Addresses

Primary practice location

7401 Mountain Ave
Elkins Park, PA 19027-3022

Mailing address

7401 Mountain Ave
Elkins Park, PA 19027-3022
Phone (215) 964-0989

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

State licenses

LicenseStateTypeSpecialty
SP022787PAMDCritical Care Medicine Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1497356190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 MOUNTAIN AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273022",
            "telephone_number": "215-964-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 MOUNTAIN AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273022",
            "telephone_number": "215-964-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASUMU",
        "first_name": "NADRIA",
        "middle_name": "YASMEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "PA",
            "license": "SP022787",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP022787",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP022787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; 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.