Active NPI
Yonas Girmay Hagos
- Nurse Practitioner
- Centreville, VA
National Provider Identifier
1518698240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP1037885
- Practice address
- 6114D Hoskins Hollow Cir
Centreville, VA 20121-2692 - Phone
- (571) 309-9689
- NPI assigned
- Jun 22, 2022
- Last updated
- Jun 22, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP1037885 | DC | Primary |
Addresses
Primary practice location
6114D Hoskins Hollow Cir
Centreville, VA 20121-2692
Mailing address
6114D Hoskins Hollow Cir
Centreville, VA 20121-2692
Phone (571) 309-9689
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1037885 | DC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1518698240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6114D HOSKINS HOLLOW CIR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212692",
"telephone_number": "571-309-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6114D HOSKINS HOLLOW CIR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212692",
"telephone_number": "571-309-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGOS",
"first_name": "YONAS",
"middle_name": "GIRMAY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "NP1037885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.