Individual provider Active NPI

Hiyab Goitom Yohannes, NP

  • Primary Care Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1730799339
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024185945 Issued in VA
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

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127003568 DC Order and Referring Only - Nurse Practitioner 1456839976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1046794DCMDRegistered Nurse
0024185945VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medics USA Medical Center, Inc CurrentSince Sep 17, 2023 Accepting new patients
Medics USA, Inc PastSince Sep 17, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.