Abundant Health Family Practice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ABUNDANT HEALTH FAMILY PRACTICE

Practice address

2055 W Hospital Dr
Suite 295
Tucson, AZ 85704-7892

Phone

(520) 326-1457

Fax

(520) 326-1464

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Rachel E Gordon, FNPC

Title

Co Owner

Phone

(520) 326-1457

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1568697282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "SUITE 295",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-326-1457",
            "fax_number": "520-326-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR",
            "address_2": "SUITE 295",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047892",
            "telephone_number": "520-326-1457",
            "fax_number": "520-326-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "520-326-1457",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881707",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526013",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431655",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dima Mohammad Ghazi Abu Afifeh, MD
• Yara Abu Salah
• Ahmed Mufeed Abed Abuawad
• Bedri Ibrahim Abubeker, MD
• Mohammad Abudoush, MD
• Abundant Life Enterprises, LLC
• Aseel Abushaar, MA, MSC, LPC
• Acacia Apothecary and Wellness LLC
• Acacia Apothecary and Wellness LLC
• Acacia Family Medicine, PC

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.