Individual provider Active NPI

Almaz Assefaw

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1275830192
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024169575 Issued in VA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111122000490 DC Practitioner - Nurse Practitioner 1456525799 Reassigns benefits to 2 organizations
I20111220000532 VA Practitioner - Nurse Practitioner 1456525799 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CN-1100338DCMDFamily Nurse Practitioner
AC004657MDMDPsychiatric/Mental Health Nurse Practitioner
0024169575VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 29, 2011 Accepting new patients
Alma Integrated Health Psychiatric/Mental Health CurrentSince Nov 1, 2022 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.

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

Verify at the official NPI Registry.