Mahelet Mamo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174476 Issued in VA

Practice address

1101 Wilson Blvd
Arlington, VA 22209-2211

Phone

(703) 338-9490

NPI assigned

Feb 3, 2017

Last updated

Dec 2, 2025By the provider in NPPES

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

Enrolled in DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• King Street Wellness LLC

  • Urgent Care Clinic/Center
  • Alexandria, VA
  • NPI 1619723913

  DC

  Medicare reassignment NPD
• Rahel G. Yirga MD PC

  • Internal Medicine Physician
  • Sterling, VA
  • NPI 1558508184

  DC

  Medicare reassignment NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  DC, VA

  Medicare reassignment
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Integrative Womens Care PC

  dba Midi Health PC

  • Obstetrics & Gynecology Physician
  • Palo Alto, CA
  • NPI 1972266732
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1881132439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092211",
            "telephone_number": "703-338-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092211",
            "telephone_number": "703-338-9490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10440 Little Patuxent Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443561",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMO",
        "first_name": "MAHELET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Malliarakis, RN, CNP
• Sean Maloney, LCSW
• Aurore Reaksmey Mam Gill, DPT
• Mama Bear & Infant Care, LLC
• Robert Maman, MD
• Joan Andrea Mandelson, MS RD
• Jennifer Maneemacha
• Diana L Manganelli, L.C.S.W.
• Wahabou Mangazi
• Shelley Maniscalco, MPH RD

• Family Nurse Practitioner in Arlington, VA
• Providers in Arlington, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.