Individual provider Active NPI

Sakinah Wajihah Abdulkhabir, CRNP

  • Primary Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1740057439
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP027431 Issued in PA
Practice address
QCHC Family Health Services
2501 West Lehigh Ave
Philadelphia, PA 19132
Phone
(215) 227-0300
Fax
(215) 227-0302
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP027431 PA
Gerontology Nurse Practitioner 363LG0600X SP027431 PA
Primary Care Nurse Practitioner 363LP2300X SP027431 PA Primary

Addresses

Primary practice location

QCHC Family Health Services
2501 West Lehigh Ave
Philadelphia, PA 19132

Mailing address

486 Plymouth Rd
Glenside, PA 19038-2829
Phone (267) 455-3971

Other practice location 1

Cooke Family Health Center
1300 W. Louden Street
Philadelphia, PA 19140
Phone (215) 457-6902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240522001462 PA Practitioner - Nurse Practitioner 2062854052 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jul 21, 2024 Accepting new patients
Quality Community Health Care, Inc. CurrentSince Jan 12, 2024 Accepting new patients
Quality Community Health Care, Inc. Past Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

1300 W Loudon St
Philadelphia, PA 19141
Phone (215) 457-6902

2501 W Lehigh Ave
Philadelphia, PA 19132
Phone (215) 227-0300

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: sakinah.abdulkhabir.1@25278.direct.athenahealth.com

Organizations & group practices 3

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1740057439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 PLYMOUTH RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190382829",
            "telephone_number": "267-455-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QCHC FAMILY HEALTH SERVICES",
            "address_2": "2501 WEST LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19132",
            "telephone_number": "215-227-0300",
            "fax_number": "215-227-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cooke Family Health Center",
            "address_2": "1300 W. Louden Street",
            "address_purpose": "LOCATION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "country_code": "US",
            "telephone_number": "215-457-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULKHABIR",
        "first_name": "SAKINAH",
        "middle_name": "WAJIHAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP027431",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP027431",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP027431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.