Individual provider Active NPI

Tekabech Azeref

  • Nurse's Aide
  • Silver Spring, MD
National Provider Identifier
1114690948
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00187561 Issued in MD
Practice address
1720 Featherwood St
Silver Spring, MD 20904-6660
Phone
(202) 749-2580
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
Yes

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
A00187561MDMDNurse's Aide

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00187561 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1720 Featherwood St
Silver Spring, MD 20904-6660

Mailing address

1720 Featherwood St
Silver Spring, MD 20904-6660
Phone (202) 749-2580

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL Washington

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2021.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1114690948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 FEATHERWOOD ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046660",
            "telephone_number": "202-749-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 FEATHERWOOD ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046660",
            "telephone_number": "202-749-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEREF",
        "first_name": "TEKABECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00187561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "endpointDescription": "Home Health Agency",
            "address_1": "1822 Jefferson Pl NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200362505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.