Individual provider Active NPI

Habtamu Merkeba Mekuria

  • Taxi
  • Seattle, WA
National Provider Identifier
1699462622
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
WDL43PT3G33B Issued in WA
Practice address
4516 Sunnyside Ave N
Seattle, WA 98103-6939
Phone
(206) 698-9870
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X WDL43PT3G33B WA Primary

Addresses

Primary practice location

4516 Sunnyside Ave N
Seattle, WA 98103-6939

Mailing address

4516 Sunnyside Ave N
Seattle, WA 98103-6939
Phone (206) 698-9870

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

LicenseStateTypeSpecialty
WDL43PT3G33BWAMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1699462622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 SUNNYSIDE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036939",
            "telephone_number": "206-698-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 SUNNYSIDE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036939",
            "telephone_number": "206-698-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKURIA",
        "first_name": "HABTAMU",
        "middle_name": "MERKEBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "WA",
            "license": "WDL43PT3G33B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.