Individual provider Active NPI

Nabila Abdulwahab, CRNP

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1629341375
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R180980 Issued in MD
Practice address
12123 Quadrille LN
Bowie, MD 20720-4384
Phone
(240) 646-4985
NPI assigned
Feb 10, 2012
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R180980 MD Primary

Addresses

Primary practice location

12123 Quadrille LN
Bowie, MD 20720-4384

Mailing address

2250 Hickory Rd
Plymouth Meeting, PA 19462-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180216000893 MD Practitioner - Nurse Practitioner 1052671823 Reassigns benefits to 1 organization
I20190516001756 DC Practitioner - Nurse Practitioner 1052671823 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R180980MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 30, 2018 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jan 30, 2018 Accepting new patients
Suburban Nephrology Associates LLC CurrentSince Jan 1, 2023 Accepting new patients
Astera Medical Clinic Family PastSince Sep 1, 2021 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

7725 Belle Point Dr
Greenbelt, MD 20770
Phone (240) 965-7955

Interoperability endpoints

  • Direct secure messaging: nabdulwahab801349@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1629341375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 QUADRILLE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204384",
            "telephone_number": "240-646-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULWAHAB",
        "first_name": "NABILA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R180980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.