Individual provider Active NPI

Gizachew Wourgasso Nerri

  • Non-emergency Medical Transport (VAN)
  • Washington, DC
National Provider Identifier
1053848499
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T60-02-7135 Issued in VA
Practice address
1403 6TH St NW # 3
Washington, DC 20001-2418
Phone
(202) 529-1071
Fax
(202) 635-6832
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T60-02-7135 VA Primary

Addresses

Primary practice location

1403 6TH St NW # 3
Washington, DC 20001-2418

Mailing address

6501 Tower Dr Apt 302
Alexandria, VA 22306-6532
Phone (571) 236-1679

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

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1053848499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 TOWER DR APT 302",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223066532",
            "telephone_number": "571-236-1679",
            "fax_number": "571-255-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 6TH ST NW # 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012418",
            "telephone_number": "202-529-1071",
            "fax_number": "202-635-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERRI",
        "first_name": "GIZACHEW",
        "middle_name": "WOURGASSO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "T60-02-7135",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 16, 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.