Individual provider Active NPI

Selam Mulugeta Desalegn

  • Personal Care Attendant
  • Washington, DC
National Provider Identifier
1588290290
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
1616 Marion St NW Apt 213
Washington, DC 20001-3473
Phone
(202) 468-4520
NPI assigned
Mar 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

1616 Marion St NW Apt 213
Washington, DC 20001-3473

Mailing address

511 Silver Spring Ave Apt 6
Silver Spring, MD 20910-4646
Phone (240) 615-0543

Other practice location 1

511 Silver Spring Ave Apt 6
Silver Spring, MD 20910-4646
Phone (240) 615-0543

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

NPI Registry JSON

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1588290290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SILVER SPRING AVE APT 6",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104646",
            "telephone_number": "240-615-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 MARION ST NW APT 213",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013473",
            "telephone_number": "202-468-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Silver Spring Ave Apt 6",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104646",
            "country_code": "US",
            "telephone_number": "240-615-0543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESALEGN",
        "first_name": "SELAM",
        "middle_name": "MULUGETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; 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.