Active NPI
Nourhan El-Yassin, ACNP
- Acute Care Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 63782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63782 | NM | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | 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
- 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.
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1215266754
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.