Individual provider Active NPI

Muliye Tamrat Woldetsadik

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1902228398
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA10123 Issued in DC
Practice address
4500 Fort Totten Dr NE Apt 5
Washington, DC 20011-7525
Phone
(202) 499-8904
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Home Health Aide 374U00000X HHA10123 DC Primary

Addresses

Primary practice location

4500 Fort Totten Dr NE Apt 5
Washington, DC 20011-7525

Mailing address

4500 Fort Totten Dr NE Apt 520011
Washington, DC 20011-7525

Other practice location 1

235 Missouri Ave NW
Washington, DC 20011-5218
Phone (202) 499-8904

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
HHA10123DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902228398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FORT TOTTEN DR NE APT 520011",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORT TOTTEN DR NE APT 5",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117525",
            "telephone_number": "202-499-8904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Missouri Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115218",
            "country_code": "US",
            "telephone_number": "202-499-8904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLDETSADIK",
        "first_name": "MULIYE",
        "middle_name": "TAMRAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA10123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.