Individual provider Active NPI

Ibrahim Sulaiman Hemaada

  • Driver
  • Albuquerque, NM
National Provider Identifier
1740820174
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
D02184121 Issued in AZ
Practice address
7600 Montgomery Blvd NE Apt 1065
Albuquerque, NM 87109-1523
Phone
(602) 751-1699
NPI assigned
Jan 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D02184121 AZ Primary

Addresses

Primary practice location

7600 Montgomery Blvd NE Apt 1065
Albuquerque, NM 87109-1523

Mailing address

6406 W Winslow Ave
Phoenix, AZ 85043-7705
Phone (602) 751-1699

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
D02184121AZMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1740820174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 W WINSLOW AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437705",
            "telephone_number": "602-751-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 MONTGOMERY BLVD NE APT 1065",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091523",
            "telephone_number": "602-751-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMAADA",
        "first_name": "IBRAHIM",
        "middle_name": "SULAIMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": "D02184121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.