Active NPI
Hiyab Goitom Yohannes, NP
- Primary Care Nurse Practitioner
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 0024185945
- Practice address
- 44050 Ashburn Shopping PLZ Ste 179
Ashburn, VA 20147-7916 - Phone
- (703) 726-9401
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1046794 | DC | |
| Primary Care Nurse Practitioner | 363LP2300X | 0024185945 | VA | Primary |
Addresses
Primary practice location
44050 Ashburn Shopping PLZ Ste 179
Ashburn, VA 20147-7916
Mailing address
6252 Rose Hill Dr Apt 2B
Alexandria, VA 22310-6252
Other practice location 1
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-3381
Other practice location 2
1700 17th St NW Ste A
Washington, DC 20009-2498
Phone (202) 483-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260127003568 | DC | Order and Referring Only - Nurse Practitioner | 1456839976 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1046794 | DC | MD | Registered Nurse |
| 0024185945 | VA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medics USA Medical Center, Inc | Current | Accepting new patients | |
| Medics USA, Inc | Past | Accepting new patients |
Locations
1700 17th St NW
Ste A
Washington, DC 20009
Phone (202) 483-4400
44050 Ashburn Shopping Plz
Ste 179
Ashburn, VA 20147
Phone (540) 338-3360
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CECEAD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Ashburn, VA
- NPI 1679608061
-
- Emergency Medical Services (Emergency Medicine) Physician
- Purcellville, VA
- NPI 1396870606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1730799339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6252 ROSE HILL DR APT 2B",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223106252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44050 ASHBURN SHOPPING PLZ STE 179",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201477916",
"telephone_number": "703-726-9401"
}
],
"practiceLocations": [
{
"address_1": "110 Irving St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-3381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 17th St NW Ste A",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200092498",
"country_code": "US",
"telephone_number": "202-483-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOHANNES",
"first_name": "HIYAB",
"middle_name": "GOITOM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1046794",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VA",
"license": "0024185945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.