Individual provider Active NPI

Ubah Gaani, NP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1861913832
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61204954 Issued in WA
Practice address
4219 S Othello St Ste 105F
Seattle, WA 98118-3892
Phone
(206) 910-0667
Fax
(206) 535-1039
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020605 OH
Family Nurse Practitioner 363LF0000X AP61204954 WA Primary

Addresses

Primary practice location

4219 S Othello St Ste 105F
Seattle, WA 98118-3892

Mailing address

4219 S Othello St Ste 105F
Seattle, WA 98118-3892
Phone (206) 910-0667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126002347 WA Practitioner - Nurse Practitioner 3375819550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4219 S Othello St
Suite 105F
Seattle, WA 98118-3892
Phone (206) 910-0667

Hospital & facility affiliations

  • Puget Sound Home Health Home health agency, Tacoma, WA, CCN 507101
  • Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sidra Healthcare LLC CurrentSince Jul 1, 2023 Accepting new patients
Prudent Medical Providers NW Family CurrentSince Dec 29, 2021 Accepting new patients
F&M Healthcare, LLC CurrentSince May 30, 2022 Accepting new patients
Westland Family Care LLC PastSince Nov 13, 2022 Accepting new patients
BKC Pain Specialists, LLC Past Accepting new patients

Locations

6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1861913832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 S OTHELLO ST STE 105F",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183892",
            "telephone_number": "206-910-0667",
            "fax_number": "206-535-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 S OTHELLO ST STE 105F",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183892",
            "telephone_number": "206-910-0667",
            "fax_number": "206-535-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAANI",
        "first_name": "UBAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61204954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.