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ABILAIMAH
NPI 1154284107
Nurse Practitioner - Psychiatric/Mental Health in Fredericksburg, VA

Active since December 06, 2025
1031 BROAD LAKE DR, FREDERICKSBURG, VA 22406(703) 975-0942 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abilaimah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABILAIMAH (NPI 1154284107) is a healthcare organization registered as a psychiatric/mental health in Fredericksburg, Virginia and active in the NPI registry since December 2025. The organization lists Yama Bundu, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154284107
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameABILAIMAH
Location Address1031 BROAD LAKE DRFredericksburg, VA 22406-7310
Mailing Address1031 Broad Lake DrFredericksburg, VA 22406-7310 · (703) 975-0942
Phone(703) 975-0942
Organization SubpartNo
Authorized OfficialYama BunduAuthorized Official · (703) 975-0942
Enumeration DateDecember 6, 2025
NPPES CertifiedDecember 6, 2025
✔ NPI 1154284107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1031 BROAD LAKE DR, Fredericksburg, VA 22406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abilaimah's NPI number?

The NPI number for Abilaimah is 1154284107. It was assigned to this organization in the NPPES registry on December 6, 2025.

Where is Abilaimah located?

Abilaimah is located at 1031 Broad Lake Dr, Fredericksburg, VA 22406. The listed phone number is (703) 975-0942.

What is Abilaimah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Abilaimah was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.