Rahwa Kebede Eyasu, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN1036021 Issued in DC

Practice address

75 S Reynolds St Apt G419
Alexandria, VA 22304-3156

Phone

(703) 944-6655

NPI assigned

Dec 2, 2014

Sex

Female

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: rahwa.eyasu@uhci.eclinicaldirectplus.com

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1639576952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S REYNOLDS ST APT G419",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043156",
            "telephone_number": "703-944-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S REYNOLDS ST APT G419",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043156",
            "telephone_number": "703-944-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYASU",
        "first_name": "RAHWA",
        "middle_name": "KEBEDE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1036021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.