Individual provider Active NPI

Samrawit Z Delelegn, RN

  • Administrator Registered Nurse
  • Silver Spring, MD
National Provider Identifier
1316627656
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN-1042919 Issued in DC
Practice address
2624 Tabiona Cir
Silver Spring, MD 20906-5710
Phone
(202) 808-4928
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN-1042919 DC Primary

Addresses

Primary practice location

2624 Tabiona Cir
Silver Spring, MD 20906-5710

Mailing address

2624 Tabiona Cir
Silver Spring, MD 20906-5710
Phone (202) 808-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-1042919DCMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1316627656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 TABIONA CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065710",
            "telephone_number": "202-808-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 TABIONA CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065710",
            "telephone_number": "202-808-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELELEGN",
        "first_name": "SAMRAWIT",
        "middle_name": "Z",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "DC",
            "license": "RN-1042919",
            "primary": true
        }
    ],
    "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 21, 2023; 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.