Individual provider Active NPI

Aster Tilahun Zewdie

  • Home Health Aide
  • Albuquerque, NM
National Provider Identifier
1699508879
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
COM-2024-381436 Issued in NM
Practice address
10401 Montgomery Pkwy NE Ste 2E
Albuquerque, NM 87111-3876
Phone
(505) 460-7930
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X COM-2024-381436 NM Primary

Addresses

Primary practice location

10401 Montgomery Pkwy NE Ste 2E
Albuquerque, NM 87111-3876

Mailing address

2504 Angel Dr NW
Albuquerque, NM 87120-1187
Phone (505) 460-7930

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
COM-2024-381436NMMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1699508879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 ANGEL DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201187",
            "telephone_number": "505-460-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 MONTGOMERY PKWY NE STE 2E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113876",
            "telephone_number": "505-460-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEWDIE",
        "first_name": "ASTER",
        "middle_name": "TILAHUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NM",
            "license": "COM-2024-381436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.