Active NPI
Almaz Assefaw
- Psychiatric/Mental Health Nurse Practitioner
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024169575
- Practice address
- 1110 Bonifant St Ste 201F
Silver Spring, MD 20910-3358 - Phone
- (202) 818-8656
- Fax
- (202) 818-8656
- NPI assigned
- Feb 13, 2011
- Last updated
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024169575 | VA | |
| Family Nurse Practitioner | 363LF0000X | CN-1100338 | DC | |
| Family Nurse Practitioner | 363LF0000X | RN2336612 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC004657 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN961903 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024169575 | VA | Primary |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | AC004657 | MD |
Addresses
Primary practice location
1110 Bonifant St Ste 201F
Silver Spring, MD 20910-3358
Mailing address
12826 Owens Glen Dr
Fairfax, VA 22030-8252
Phone (202) 818-8656
Other practice location 1
9300 DeWitt Loop
Fort Belvoir, VA 22060-5285
Phone (571) 231-3224
Other practice location 2
12826 Owens Glen Dr
Fairfax, VA 22030-8252
Phone (202) 818-8656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1110 Bonifant St
Suite 201F
Silver Spring, MD 20910-3358
Phone (202) 818-8656
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN-1100338 | DC | MD | Family Nurse Practitioner |
| AC004657 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024169575 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Alma Integrated Health | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
6128 Landover Rd
Cheverly, MD 20785
Phone (202) 699-5577
1110 Bonifant St
Ste 201F
Silver Spring, MD 20910
Phone (202) 818-8656
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
13031 Route 50
Fairfax, VA 22033
Phone (703) 254-3882
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Spring, MD
- NPI 1780347229
DC, Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1275830192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12826 OWENS GLEN DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220308252",
"telephone_number": "202-818-8656",
"fax_number": "202-818-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 BONIFANT ST STE 201F",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103358",
"telephone_number": "202-818-8656",
"fax_number": "202-818-8656"
}
],
"practiceLocations": [
{
"address_1": "9300 DeWitt Loop",
"address_purpose": "LOCATION",
"city": "Fort Belvoir",
"state": "VA",
"postal_code": "220605285",
"country_code": "US",
"telephone_number": "571-231-3224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12826 Owens Glen Dr",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220308252",
"country_code": "US",
"telephone_number": "202-818-8656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASSEFAW",
"first_name": "ALMAZ",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-13",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024169575",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "CN-1100338",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2336612",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC004657",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "RN961903",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024169575",
"primary": true
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "MD",
"license": "AC004657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.