Yodit Kafel Haileab, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R172148 Issued in MD

Practice address

3247 Eleanors Garden Way
Woodbine, MD 21797

Phone

(301) 526-4092

Fax

(410) 489-7996

NPI assigned

Feb 21, 2007

Reactivated

Jul 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811032246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 ELEANORS GARDEN WAY",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "21797",
            "telephone_number": "301-526-4092",
            "fax_number": "410-489-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 ELEANORS GARDEN WAY",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "21797",
            "telephone_number": "301-526-4092",
            "fax_number": "410-489-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEAB",
        "first_name": "YODIT",
        "middle_name": "KAFEL",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "deactivation_date": "2012-03-21",
        "reactivation_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R172148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Woodbine, MD
• Providers in Woodbine, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.