Individual provider Active NPI

Amina Kanneh

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1982577722
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031657 Issued in CA
Practice address
511 N Hollywood Way
Burbank, CA 91505-3406
Phone
(267) 306-7948
NPI assigned
Sep 26, 2025
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031657 CA Primary

Addresses

Primary practice location

511 N Hollywood Way
Burbank, CA 91505-3406

Mailing address

511 N Hollywood Way
Burbank, CA 91505-3406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260212002167 NC Practitioner - Nurse Practitioner 2860972551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QSM-NC PAGroup PAC ID 1052695798, 17 clinicians

Practice addresses (Care Compare)

25 Sunnybrook Rd
Raleigh, NC 27610-1807
Phone (919) 231-6150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95031657CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-NC, PA Family CurrentSince Jan 12, 2026 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Past Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

1700 Pamalee Dr
Fayetteville, NC 28301
Phone (910) 488-2295

104 College Dr
Ste 209
Flat Rock, NC 28731

1795 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 306-3276

440 Ingram Dr
King, NC 27021
Phone (336) 983-4900

620 Johns Rd
Laurinburg, NC 28352
Phone (910) 276-8400

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

204 Old Brickyard Rd
North Wilkesboro, NC 28659
Phone (336) 262-4574

206 Old Brickyard Rd
North Wilkesboro, NC 28659
Phone (336) 667-2211

25 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 231-6150

2702 Farrell Rd
Sanford, NC 27330
Phone (919) 608-9123

103 Gossman Rd
Southern Pnes, NC 28387
Phone (910) 246-1000

511 Windmill St
Walnut Cove, NC 27052
Phone (336) 591-4353

3800 Independence Blvd
Wilmington, NC 28412
Phone (910) 392-2525

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1982577722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053406",
            "telephone_number": "267-306-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEH",
        "first_name": "AMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.