REESHMA S MOHAMMED MSN FNP-BC NPI 1063758100

NPI Information

  • NPI: 1063758100
  • Provider Name: REESHMA S MOHAMMED, MSN, FNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 355 CHARDONNAY AVE
    PROSSER, WA
    ZIP 99350
  • Phone: (509) 781-6366

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NPI Details

Reeshma S Mohammed, MSN, FNP-BC is a gerontology nurse practitioner in Prosser, WA with 7 years of experience. Reeshma S Mohammed, MSN, FNP-BC NPI is 1063758100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

355 CHARDONNAY AVE
PROSSER, WA
ZIP 99350-521
Phone: (509) 781-6366
Fax: (509) 781-6367

The NPI 1063758100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 9/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner201603125NP-PPOREGONNo
2363L00000XNurse PractitionerNP-13808OHIONo
3363LF0000XNurse PractitionerFamilyAP125593TEXASNo
4363LG0600XNurse PractitionerGerontology201603125NP-PPOREGONNo
5363LG0600XNurse PractitionerGerontologyAP70040793WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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