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NPISignal

Individual Healthcare Provider

Nina Kellie Lateefee Abul-Husn, MD, MSPH

NPI Record: ActiveFamily Medicine — Addiction Medicine
NPI1538421094
Pocatello, Idaho

Provider's NPPES record last updated: December 23, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1538421094
Primary Specialty
Family Medicine — Addiction Medicine
Practice Location
Pocatello, Idaho
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 6:45 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A family medicine physician who specializes in the diagnosis and treatment of addictions.

    Taxonomy code 207QA0401X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Provider-Reported License Information

Family Medicine (Idaho)
M-13784
Family Medicine (Montana)
MED-PHYS-COM-LIC-147
General Practice (Montana)
MED-PHYS-COM-LIC-147
General Practice (Idaho)
M-13784
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2785 Bannock Hwy

Pocatello, Idaho 83204-3607

Phone: (208) 904-2654

Additional Practice Location

1603 12th Ave Rd Ste B

Nampa, Idaho 83686-6100

Phone: (120) 844-2009

Fax: (208) 375-2217

Additional Practice Location

12553 W Explorer Dr Ste 190

Boise, Idaho 83713-1612

Phone: (208) 376-7083

Additional Practice Location

833 N Last Chance Gulch

Helena, Montana 59601-3352

Phone: (406) 422-4933

Additional Practice Location

2067 W Alsea Ave

Post Falls, Idaho 83854-7920

Phone: (800) 510-5393

Record Information

Enumeration Date
June 11, 2012
Provider's NPPES Record Last Updated
December 23, 2025
Certification Date
December 23, 2025
NPISignal NPPES Dataset
August 2026

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