Active NPI
Nasra Abdullahi Mohamud, RN, MSN
- Registered Nurse
- Seatac, WA
National Provider Identifier
1558037473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61181841
- Practice address
- 18611 39TH Ave S
Seatac, WA 98188-5007 - Phone
- (253) 205-5780
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61181841 | WA | Primary |
Addresses
Primary practice location
18611 39TH Ave S
Seatac, WA 98188-5007
Mailing address
24452 109TH PL SE
Kent, WA 98030-4932
Phone (253) 205-5780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN61181841 | Medicaid | WA |
Other names 1
- Faduma Mohamed Abdi
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61181841 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raha Adult Family Home LLC | Current | Accepting new patients | |
| Raha Private Duty Nurse LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Care Home Facility
- Seatac, WA
- NPI 1093447617
-
- Nursing Care Agency
- Kent, WA
- NPI 1073258240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1558037473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24452 109TH PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980304932",
"telephone_number": "253-205-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18611 39TH AVE S",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885007",
"telephone_number": "253-205-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMUD",
"first_name": "NASRA",
"middle_name": "ABDULLAHI",
"credential": "RN, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61181841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN61181841",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FADUMA",
"last_name": "ABDI",
"middle_name": "MOHAMED",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.