SIDRA HEALTHCARE LLC
NPI 1588343255
Nurse Practitioner in Seattle, WA

Active since July 11, 2023
4219 S OTHELLO ST # 105F, SEATTLE, WA 98118(206) 910-0667(206) 673-8050 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Sidra Healthcare Llc NPPES

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

SIDRA HEALTHCARE LLC (NPI 1588343255) is a healthcare organization registered as a nurse practitioner in Seattle, Washington and active in the NPI registry since July 2023. The organization lists Ubah Gaani, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1588343255
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSIDRA HEALTHCARE LLC
Location Address4219 S OTHELLO ST # 105FSeattle, WA 98118-3892
Mailing Address4219 S Othello St # 105fSeattle, WA 98118-3892 · Fax (206) 673-8050
Fax(206) 673-8050
Organization SubpartNo
Authorized OfficialUbah GaaniSole Member · (253) 642-4104
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
NPI 1588343255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4219 S OTHELLO ST # 105F, Seattle, WA 98118

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Long Term Care Pharmacy)
4219 S OTHELLO ST # 105F
SEATTLE, WA 98118

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 Sidra Healthcare LLC's NPI number?

The NPI number for Sidra Healthcare LLC is 1588343255. It was assigned to this organization in the NPPES registry on July 11, 2023.

Where is Sidra Healthcare LLC located?

Sidra Healthcare LLC is located at 4219 S Othello St # 105F, Seattle, WA 98118. The listed phone number is (206) 910-0667.

What is Sidra Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Sidra Healthcare LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sidra Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sidra Healthcare LLC was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.