Individual provider Active NPI

Fithawit Mulugeta Ghebru, FNP

  • Family Nurse Practitioner
  • Sterling, VA
National Provider Identifier
1407487747
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178763 Issued in VA
Practice address
110 Edds LN
Sterling, VA 20165-5683
Phone
(703) 444-1115
NPI assigned
Jan 27, 2020
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1056788 DC
Family Nurse Practitioner 363LF0000X 0024178763 VA Primary

Addresses

Primary practice location

110 Edds LN
Sterling, VA 20165-5683

Mailing address

20114 Old Line Ter
Ashburn, VA 20147-7493
Phone (571) 344-3349

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
I20200513001085 DC Practitioner - Nurse Practitioner 0244661924 Reassigns benefits to 5 organizations
I20210729003717 VA Practitioner - Nurse Practitioner 0244661924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Rxwellness Spine and Health - Aldie South Riding LLCGroup PAC ID 8820514755, 5 clinicians
Rxwellness Spine and Health - Ashburn LLCGroup PAC ID 7517336456, 5 clinicians
Rxwellness Spine and Health - Tysons McLean LLCGroup PAC ID 7911327259, 4 clinicians
Rxwellness Spine and Health - Herndon Reston LLCGroup PAC ID 8224449103, 6 clinicians

Practice addresses (Care Compare)

24600 Millstream Dr
Suite 360
Aldie, VA 20105-5686
Phone (571) 665-4746

43780 Central Station Dr
Suite 100
Ashburn, VA 20147-7206
Phone (703) 904-9666

8609 Westwood Ctr Dr
Suite 620
Vienna, VA 22182-7534
Phone (703) 904-9666

950 Herndon Pkwy
Suite 130
Herndon, VA 20170-5526
Phone (703) 904-9666

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rxwellness Spine & Health - Arlington LLC CurrentSince Jan 22, 2022 Accepting new patients
Rxwellness Spine & Health - Aldie South Riding LLC CurrentSince Mar 9, 2025 Accepting new patients
Rxwellness Spine & Health - Herndon Reston LLC CurrentSince Jan 22, 2022 Accepting new patients
Rxwellness Spine & Health - Tysons McLean LLC CurrentSince Apr 1, 2022 Accepting new patients
Rxwellness Spine & Health - Rockville LLC CurrentSince Jul 2, 2025 Accepting new patients
Rxwellness Spine & Health - Vienna LLC CurrentSince Mar 13, 2022 Accepting new patients
Rxwellness Spine & Health - Ashburn LLC CurrentSince Nov 23, 2022 Accepting new patients
Melkam Total Wellness PLLC CurrentSince May 4, 2025 Accepting new patients
King Street Back & Neck Care PastSince Jun 1, 2010 Accepting new patients

Locations

15001 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (240) 556-5721

932 N Highland St
Ste A
Arlington, VA 22201
Phone (571) 348-1541

43780 Central Station Dr
Ste 100
Ashburn, VA 20147

950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402

24600 Millstream Dr
Ste 360
Stone Ridge, VA 20105
Phone (571) 487-7786

360 Maple Ave W
Vienna, VA 22180
Phone (703) 255-3334

360 Maple Ave W
Ste B
Vienna, VA 22180
Phone (434) 989-4901

8609 Westwood Center Dr
Ste 620
Vienna, VA 22182

Networks

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

Organizations & group practices 9

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1407487747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20114 OLD LINE TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477493",
            "telephone_number": "571-344-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EDDS LN",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655683",
            "telephone_number": "703-444-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEBRU",
        "first_name": "FITHAWIT",
        "middle_name": "MULUGETA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1056788",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.