Ishmail Saidu Nabie

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

C66047384 Issued in VA

Practice address

4400 University Dr
Fairfax, VA 22030-4422

Phone

(703) 993-1000

NPI assigned

Dec 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• George Mason University

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1114470606
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1649817149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 JACKSON FIELDS CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201216218",
            "telephone_number": "703-507-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 UNIVERSITY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304422",
            "telephone_number": "703-993-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABIE",
        "first_name": "ISHMAIL",
        "middle_name": "SAIDU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "C66047384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MZG Counseling, LLC
• N & L Enterprise Inc
• Kimberly B NA, M.D.
• Kimberly K Naahielua, M.D.
• Paula Naanou
• Aaron Jeffrey Naca
• Laura Nackman
• Shah Nadeem, M.D.
• Nilofar Naderi, LCSW
• Faiaz Ahmad Nady, SA-C

• Athletic Trainer in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.