Sala Health House Call LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SALA HEALTH HOUSE CALL LLC

Practice address

12436 Daisy LN
Frisco, TX 75035-0716

Phone

(972) 896-6144

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Sandra I AbusomwanNPI 1023637303

Title

FNP-C

Phone

(972) 896-6144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Igbinehi Abusomwan

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1023637303

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1699345009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 CUSTER RD STE 110-127",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358783",
            "telephone_number": "972-896-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12436 DAISY LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350716",
            "telephone_number": "972-896-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALA HEALTH HOUSE CALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "ABUSOMWAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "972-896-6144"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Frisco, TX
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.