Individual provider Active NPI

Farah Abdi Buck, APRN, FNP-BC

  • Family Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1508340456
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN330783 Issued in GA
Practice address
110 Beech Tree LN
Roswell, GA 30075-1839
Phone
(281) 898-5332
Fax
(281) 898-5332
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN330783 GA Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN330783 GA
Health & Wellness Coach 171400000X RN330783 GA

Addresses

Primary practice location

110 Beech Tree LN
Roswell, GA 30075-1839

Mailing address

110 Beech Tree LN
Roswell, GA 30075-1839
Phone (281) 898-5332

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
I20240510002275 WA Practitioner - Nurse Practitioner 4880927664 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN330783GAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Gracious Minds Counseling and Supervision Inc. CurrentSince Oct 14, 2023 Accepting new patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Mar 6, 2024 Accepting new patients
Multicare Health System CurrentSince Apr 15, 2025 Accepting new patients
Multicare Health System CurrentSince Apr 15, 2025 Accepting new patients
Sea Mar Community Health Centers Nurse Practitioner Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Mar 6, 2024 Accepting new patients

Locations

101 Southwestern Blvd
Ste 200
Sugar Land, TX 77478
Phone (346) 298-3790

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1508340456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEECH TREE LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751839",
            "telephone_number": "281-898-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEECH TREE LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751839",
            "telephone_number": "281-898-5332",
            "fax_number": "281-898-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "FARAH",
        "middle_name": "ABDI",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN330783",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "GA",
            "license": "RN330783",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "GA",
            "license": "RN330783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.