Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fadumo Ismael Omar, ARNP-C

Individual provider Nurse Practitioner · NPI 1164913893

Fadumo Ismael Omar, ARNP-C is a Nurse Practitioner in Seattle, Washington. Qualified in 2021, 5 years ago. Practices with Fairview Health Services, a 678-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1701 18th Ave S
Seattle, WA 98144-4317
Phone: (253) 833-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 505 Washington Ave S, Kent, WA 98032-5709 — (253) 833-7444

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60850885 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60850885 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60850885 (WA)

Record details

NPI number1164913893
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-C
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESJune 28, 2022
Certification dateJune 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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