Amen N Berhanu, RN

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

#750903 Issued in WA

Practice address

734 N 204TH St
Shoreline, WA 98133-3113

Phone

(206) 542-7403

Fax

(206) 542-7457

NPI assigned

Dec 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Uw Medicine Northwest Physicians

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1225458508
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1376872077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N 204TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333113",
            "telephone_number": "206-542-7403",
            "fax_number": "206-542-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N 204TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333113",
            "telephone_number": "206-542-7403",
            "fax_number": "206-542-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERHANU",
        "first_name": "AMEN",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "#750903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Lee Bennett
• Vivian Marie Bennett, DDS
• Karen Ann Benson, PHD, MS, MN, ARNP
• Rebecca Berg, MA OTR/L
• Siem Tesfay Berhane
• Timothy Berman
• Sarah Wynelle Bernhards, FNP-C
• Laura L Berry, NCC, WASHINGTON LMHC
• Paula S. Best, MA, LMHC
• Bethany Christian Services

• Home Health Aide in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.