Active NPI
Tewabech Getnet Gedafie, CRNP
- Family Nurse Practitioner
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R178235
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care Maryland LLC | Family | Current | Accepting new patients |
| Minuteclinic LLC | Family | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.