Individual provider Active NPI

Tewabech Getnet Gedafie, CRNP

  • Family Nurse Practitioner
  • Olney, MD
National Provider Identifier
1306276589
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R178235 Issued in MD
Practice address
3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone
(866) 389-2727
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R178235 MD Primary

Addresses

Primary practice location

3110 Olney Sandy Spring Rd
Olney, MD 20832-1408

Mailing address

15505 Pennyroyal LN
Rockville, MD 20853-1470
Phone (615) 579-8142

Other names 1

  • Debritu Getnet Gedafie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20140211001542 DC Practitioner - Nurse Practitioner 2163651381 Reassigns benefits to 2 organizations
I20140212000051 MD Practitioner - Nurse Practitioner 2163651381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone (886) 389-2727

7955 Tuckerman LN
Rockville, MD 20854-3243
Phone (886) 389-2727

799 Rockville Pike
Rockville, MD 20852-1136
Phone (886) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Jul 12, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Dec 9, 2013 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 986-9144

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

546 N Frederick Ave
Gaithersburg, MD 20877
Phone (301) 948-3250

3110 Olney Sandy Spring Rd
Olney, MD 20832
Phone (301) 774-6155

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

12359 Georgia Ave
Silver Spring, MD 20906
Phone (301) 466-2259

1001 York Rd
Towson, MD 21204
Phone (410) 823-3900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1306276589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15505 PENNYROYAL LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531470",
            "telephone_number": "615-579-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321408",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDAFIE",
        "first_name": "TEWABECH",
        "middle_name": "GETNET",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRITU",
            "last_name": "GEDAFIE",
            "middle_name": "GETNET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.