Active NPI
Aretha Adewetan, CNA/GNA
- Licensed Vocational Nurse
- Arlington, VA
National Provider Identifier
1659838357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- A00155559
- Practice address
- 955 S Rolfe St Unit B
Arlington, VA 22204-4540 - Phone
- (757) 573-4134
- NPI assigned
- Feb 28, 2019
- Last updated
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | A00155559 | MD | Primary |
Addresses
Primary practice location
955 S Rolfe St Unit B
Arlington, VA 22204-4540
Mailing address
PO Box 7756
Arlington, VA 22207-7756
Phone (571) 218-0913
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 |
|---|---|---|---|
| A00155559 | MD | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1659838357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7756",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222077756",
"telephone_number": "571-218-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 S ROLFE ST UNIT B",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222044540",
"telephone_number": "757-573-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEWETAN",
"first_name": "ARETHA",
"name_prefix": "Ms.",
"credential": "CNA/GNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "MD",
"license": "A00155559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.