Heina Siju Abraham, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Tukwila, WA
NPI 1770169682 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1770169682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11011326 (FL)
- Practice address
- 555 Andover Park W Ste 200
Tukwila, WA 98188-3379 - Phone
- (888) 803-3370
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Circle Medical Care Group PA
Practice addresses (Care Compare)
1400 N Coit Rd
Suite 302
McKinney, TX 75071-6656
Phone (888) 803-3370
555 Andover Park W
Suite 200
Tukwila, WA 98188-3379
Phone (888) 803-3370
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in FL, TX, WA, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240202001109 | FL | Practitioner - Nurse Practitioner | 7416300785 | Reassigns benefits to 1 organization |
| I20250728000428 | TX | Practitioner - Nurse Practitioner | 7416300785 | Reassigns benefits to 1 organization |
| I20250915004021 | WA | Practitioner - Nurse Practitioner | 7416300785 | Reassigns benefits to 1 organization |
| I20260520003008 | CA | Practitioner - Nurse Practitioner | 7416300785 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95038449 | CA | MD | Adult Health Nurse Practitioner |
| A186495 | IA | MD | Adult Health Nurse Practitioner |
| 1124894 | TX | MD | Adult Health Nurse Practitioner |
| AP61551830 | WA | MD | Adult Health Nurse Practitioner |
| 11011326 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Ky Abrams DO PA | Current |
Accepting new patients | |
| Circle Medical Care Group PA | Current |
Accepting new patients |
Locations
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
1951 SW 172nd Ave
Ste 308
Miramar, FL 33029
Phone (954) 431-1904
5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289
1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005
555 Andover Park W
Ste 200
Tukwila, WA 98188
Phone (229) 500-6056
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A186495 | IA | |
| Family Nurse Practitioner | 363LF0000X | 11011326 | FL | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 95038449 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP61551830 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | 1124894 | TX |
Addresses
Primary practice location
555 Andover Park W Ste 200
Tukwila, WA 98188-3379
Mailing address
2540 Rampart Way S
Hollywood, FL 33026-1360
Phone (954) 850-4103
NPI Registry JSON
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1770169682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 RAMPART WAY S",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330261360",
"telephone_number": "954-850-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 ANDOVER PARK W STE 200",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981883379",
"telephone_number": "888-803-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "HEINA",
"middle_name": "SIJU",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IA",
"license": "A186495",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11011326",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95038449",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP61551830",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1124894",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
- Isra Abdi
- Nawal Abdi
- Nora Ahmed Abdi
- Ugbad Abdi
- Able Pediatric Health
- Simona Abramovich
- Faiza Sheikh Abu
- Eduardo Abuyog
- Aida Acevedo
- Stephen Achuff
All providers in Tukwila, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.