Individual provider Active NPI

Sheeba Rahat, FNP-C

  • Family Nurse Practitioner
  • Bensalem, PA
National Provider Identifier
1710445267
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02190152 Issued in PA
Practice address
2046 Deerfield Dr
Bensalem, PA 19020-4481
Phone
(267) 255-0990
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 F02190152 PA Primary

Addresses

Primary practice location

2046 Deerfield Dr
Bensalem, PA 19020-4481

Mailing address

2046 Deerfield Dr
Bensalem, PA 19020-4481
Phone (267) 255-0990

Other names 1

  • Sheeba Memon Other name

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

LicenseStateTypeSpecialty
F02190152PAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1710445267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 DEERFIELD DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204481",
            "telephone_number": "267-255-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 DEERFIELD DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204481",
            "telephone_number": "267-255-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAT",
        "first_name": "SHEEBA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F02190152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEEBA",
            "last_name": "MEMON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.