Active NPI
Basimah Dhakirah Abubakar, REGISTERED NURSE
- Licensed Practical Nurse
- Arlington, TX
National Provider Identifier
1669672937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 308212-031
- Practice address
- 1301 Willoughby LN Apt 5324
Arlington, TX 76011-2922 - Phone
- (682) 717-9077
- NPI assigned
- Jul 24, 2007
- Last updated
- Mar 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | 226302 | WI | |
| Licensed Practical Nurse | 164W00000X | 308212-031 | WI | Primary |
Addresses
Primary practice location
1301 Willoughby LN Apt 5324
Arlington, TX 76011-2922
Mailing address
1301 Willoughby LN Apt 5324
Arlington, TX 76011-2922
Phone (682) 717-9077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669672937 | Medicaid | WI |
Other names 1
- Mrs. Basimah Dhakirah Musaddiq
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226302 | WI | MD | Hemodialysis Registered Nurse |
| 308212-031 | WI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faheem Trusting Hands Assisted Living LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denton, TX
- NPI 1992685390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1669672937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 WILLOUGHBY LN APT 5324",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760112922",
"telephone_number": "682-717-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WILLOUGHBY LN APT 5324",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760112922",
"telephone_number": "682-717-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUBAKAR",
"first_name": "BASIMAH",
"middle_name": "DHAKIRAH",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "WI",
"license": "226302",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "308212-031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669672937",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BASIMAH",
"last_name": "MUSADDIQ",
"middle_name": "DHAKIRAH",
"prefix": "MRS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.