Ahmed Abu Samake

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

957625 Issued in TX

Practice address

7608 Novella Dr
Fort Worth, TX 76134-4319

Phone

(702) 372-6089

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• TX Nemt

  • Secured Medical Transport (VAN)
  • Fort Worth, TX
  • NPI 1740960731
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1972283968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 NOVELLA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344319",
            "telephone_number": "702-372-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 NOVELLA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344319",
            "telephone_number": "702-372-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU SAMAKE",
        "first_name": "AHMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "957625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Abraham, PHARMD
• Kathryn Elaine Abrahamson, MS, WHNP-BC, RN
• Monica Leana Abrego - Carbajal, LCSW
• Absolute Care Home Health Agency
• Katherine Abtahi, DO
• Ameera Abu-Ali
• Dana Abu-Maizar, PT, DPT
• Rosemary A Abu-Shair, L.P.T.
• Amir Abuchaei, DO
• Abundance of Life, Adult Day Center

• Pediatric Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.