Kidist Debrework

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1220 12TH St NW Apt 502
Washington, DC 20005-4332

Phone

(571) 426-0196

NPI assigned

Dec 23, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2015.

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1679938336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 12TH ST NW APT 502",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST NW APT 502",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054332",
            "telephone_number": "571-426-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBREWORK",
        "first_name": "KIDIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shontia Patrice Debrew
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• James Debritz, MD
• Tyler Hunter Debrow
• Sisay Debu
• Maria Gema Decain, MD

• All providers in Washington, DC
• Home Health Aide in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.