Individual provider Active NPI

Tsigereda Belayneh

  • Addiction (Substance Use Disorder) Registered Nurse
  • Annandale, VA
National Provider Identifier
1154096402
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
0001157671 Issued in VA
Practice address
7008 Little River Tpke Ste G
Annandale, VA 22003-3234
Phone
(703) 333-3113
Fax
(703) 995-4548
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 0001157671 VA Primary

Addresses

Primary practice location

7008 Little River Tpke Ste G
Annandale, VA 22003-3234

Mailing address

7008 Little River Tpke Ste G
Annandale, VA 22003-3234
Phone (703) 333-3113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbelayneh@sellatico.com

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
0001157671VAMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1154096402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 LITTLE RIVER TPKE STE G",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033234",
            "telephone_number": "703-333-3113",
            "fax_number": "703-995-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 LITTLE RIVER TPKE STE G",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033234",
            "telephone_number": "703-333-3113",
            "fax_number": "703-995-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAYNEH",
        "first_name": "TSIGEREDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0001157671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbelayneh@sellatico.com",
            "affiliation": "N",
            "address_1": "7008 Little River Tpke Ste G",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220033234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.