Zelalem T Gebrekidan, RN

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

RN1011249 Issued in DC

Practice address

6120 Kansas Ave. , NW
Washington, DC 20011

Phone

(202) 829-1719

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• None None None Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1235891391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 MEMORY LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046858",
            "telephone_number": "202-341-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 KANSAS AVE. , NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20011",
            "telephone_number": "202-829-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREKIDAN",
        "first_name": "ZELALEM",
        "middle_name": "T",
        "name_prefix": "Prof.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "RN1011249",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DC",
            "license": "RN1011249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "middle_name": "NONE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Axumawit Kiros Gebrekidan
• Genzeb Gebrekidan
• Wogayehu Bekele Gebrekidan
• Yemisrach Gebrekidan
• Yohannes Tesfalem Gebrekidan, M.D
• Misrak M Gebrekiristos
• Simret Y Gebrekiristos, HOME HEALTH AIDE
• Tsega Gebrekristos
• Aster Gebremariam
• Etagu Gebremariam

• Critical Care Medicine (Internal Medicine) Physician in Washington, DC
• Providers in Washington, DC by specialty
• Critical Care Medicine (Internal Medicine) Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.