Individual provider Active NPI

Selam Worku Admassu

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1033624226
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13231 Issued in DC
Practice address
1003 V St NW
Washington, DC 20001-4027
Phone
(202) 910-2463
Fax
(202) 910-2463
NPI assigned
Dec 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA13231 DC Primary

Addresses

Primary practice location

1003 V St NW
Washington, DC 20001-4027

Mailing address

1003 V St NW
Washington, DC 20001-4027
Phone (202) 910-2463

Other identifiers 1

IdentifierTypeStateIssuer
HHA13231OtherDCDEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA13231DCMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512777600000",
    "number": "1033624226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 V ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014027",
            "telephone_number": "202-910-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 V ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014027",
            "telephone_number": "202-910-2463",
            "fax_number": "202-910-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADMASSU",
        "first_name": "SELAM",
        "middle_name": "WORKU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2017-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT  OF HEALTH",
            "identifier": "HHA13231",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.