Individual provider Active NPI

Bezawit Abebe

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1114583358
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187020 Issued in VA
Practice address
3456 Historic Sully Way
Chantilly, VA 20151-3046
Phone
(703) 435-3838
NPI assigned
May 14, 2019
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024187020 VA Primary

Addresses

Primary practice location

3456 Historic Sully Way
Chantilly, VA 20151-3046

Mailing address

3456 Historic Sully Way
Chantilly, VA 20151-3046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230803002264 DC Practitioner - Nurse Practitioner 8426479031 Reassigns benefits to 1 organization
I20230803002506 VA Practitioner - Nurse Practitioner 8426479031 Reassigns benefits to 1 organization
I20260223001702 TN Practitioner - Nurse Practitioner 8426479031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care Enterprise LLCGroup PAC ID 5496998155, 70 clinicians
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

1020 Dr Martin L King Jr Blvd
Nashville, TN 37203-5740
Phone (615) 622-4644

3456 Historic Sully Way
N VA Carenow Urgent Care
Chantilly, VA 20151-3046
Phone (703) 435-3838

46200 Potomac Run PLZ
Sterling, VA 20164-6622
Phone (571) 313-5087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
39692TNMDEmergency Medicine Physician
0024187020VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Enterprise LLC CurrentSince Mar 23, 2026 Accepting new patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

210 Franklin Rd
Ste 4-B
Brentwood, TN 37027
Phone (615) 964-6160

1020 Dr Martin L King Jr Blvd
Nashville, TN 37203
Phone (615) 622-4644

3456 Historic Sully Way
Chantilly, VA 20151
Phone (703) 435-3838

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1114583358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 HISTORIC SULLY WAY",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 HISTORIC SULLY WAY",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513046",
            "telephone_number": "703-435-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEBE",
        "first_name": "BEZAWIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.