Bethelhem Abebe – Private Vehicle in Denver, CO

Key facts

NPI: 1104603976
Entity type: Individual (NPI type 1)
Primary specialty: Private Vehicle 347C00000X
License: 151060374 (CO)
Practice address: 9701 E Iliff Ave Apt 2343
Denver, CO 80231-4285
Phone: (720) 589-4261
NPI assigned: Sep 13, 2023
Sex: Female
Sole proprietor: Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
151060374	CO	MD	Private Vehicle

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Private Vehicle	347C00000X	151060374	CO	Yes

Addresses

Primary practice location

9701 E Iliff Ave Apt 2343
Denver, CO 80231-4285

Mailing address

9701 E Iliff Ave Apt 2343
Denver, CO 80231-4285

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2023.

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1104603976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 E ILIFF AVE APT 2343",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 E ILIFF AVE APT 2343",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314285",
            "telephone_number": "720-589-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEBE",
        "first_name": "BETHELHEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CO",
            "license": "151060374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

All providers in Denver, CO · Private Vehicle in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.