Yalemefrea Dereba

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

B60015184 Issued in VA

Practice address

6270 Lincolnia Rd
Alexandria, VA 22312-1530

Phone

(571) 290-9705

NPI assigned

Oct 25, 2021

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

Other names 1

• Yalemefrea Dereba Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aircare Transportation

  • Non-emergency Medical Transport (VAN)
  • Alexandria, VA
  • NPI 1427714880
  NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1467116590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 LINCOLNIA RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121530",
            "telephone_number": "571-290-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 LINCOLNIA RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121530",
            "telephone_number": "571-290-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREBA",
        "first_name": "YALEMEFREA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "B60015184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YALEMEFREA",
            "last_name": "DEREBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anushka Narayan Deogaonkar, MBBS
• Dependable Home Health Services
• Dependable Home Health Services, Inc
• Julien Depeyrot, SPT
• Lisa Deppmeier, PA-C
• Derek Morch LCSW LLC
• Dermi LLC
• Laurence Marion Deshields, MD
• Desired Homecare and Therapeutic Services LLC (Desired Health and Homecare Services LLC)
• Avital Yael Deskalo, LP

• Non-emergency Medical Transport (VAN) in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.