Active NPI
Mentewabe Feressa Abedela
- Community Health Worker
- Washington, DC
National Provider Identifier
1215633243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1160 1St St NE Apt 308
Washington, DC 20002-4699 - Phone
- (202) 615-1078
- NPI assigned
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1160 1St St NE Apt 308
Washington, DC 20002-4699
Mailing address
PO Box 92777
Washington, DC 20090-2777
Phone (202) 615-1078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2847594 | Other | DC | DC DRIVER'S LICENSE |
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": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1215633243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92777",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200902777",
"telephone_number": "202-615-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 1ST ST NE APT 308",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024699",
"telephone_number": "202-615-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEDELA",
"first_name": "MENTEWABE",
"middle_name": "FERESSA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC DRIVER'S LICENSE",
"identifier": "2847594",
"state": "DC"
}
],
"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 Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.