Individual provider Active NPI

Nourhan El-Yassin, ACNP

  • Acute Care Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1801462296
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
63782 Issued in NM
Practice address
9315 Drolet Dr NW
Albuquerque, NM 87114-1341
Phone
(505) 610-0665
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 63782 NM Primary

Addresses

Primary practice location

9315 Drolet Dr NW
Albuquerque, NM 87114-1341

Mailing address

9315 Drolet Dr NW
Albuquerque, NM 87114-1341
Phone (505) 610-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63782NMMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Jul 1, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 20, 2021 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 20, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Interoperability endpoints

  • Direct secure messaging: nelyassin463033@ahs.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1801462296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 DROLET DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141341",
            "telephone_number": "505-610-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 DROLET DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141341",
            "telephone_number": "505-610-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-YASSIN",
        "first_name": "NOURHAN",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "63782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.