Individual provider Active NPI

Minija A Abraham, WHCNP

  • Women's Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1821152844
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
623282 Issued in TX
Practice address
811 E Plano Pkwy Ste 108
Plano, TX 75074-6860
Phone
(972) 423-2275
Fax
(972) 423-2277
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X AP110719 TX
Women's Health Nurse Practitioner 363LW0102X 623282 TX Primary

Addresses

Primary practice location

811 E Plano Pkwy Ste 108
Plano, TX 75074-6860

Mailing address

811 E Plano Pkwy Ste 108
Plano, TX 75074-6860
Phone (972) 423-2275

Other identifiers 3

IdentifierTypeStateIssuer
144914201MedicaidTX
1821152844OtherTXINDIVIDUAL NPI
1225729973OtherTXNPI

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
623282TXMDWomen's Health Nurse Practitioner
AP110719TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Drewgrace Enterprises LLC Multi-Specialty CurrentSince Dec 3, 2023 Accepting new patients
Dallas County Hospital District Multi-Specialty Past Accepting new patients
Dallas County Hospital District Multi-Specialty Past Accepting new patients

Locations

811 E Plano Pkwy
Ste 108
Plano, TX 75074
Phone (972) 398-0789

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821152844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E PLANO PKWY STE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746860",
            "telephone_number": "972-423-2275",
            "fax_number": "972-423-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E PLANO PKWY STE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746860",
            "telephone_number": "972-423-2275",
            "fax_number": "972-423-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MINIJA",
        "middle_name": "A",
        "credential": "WHCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP110719",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "623282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144914201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821152844",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225729973",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.