Active NPI
Muliye Tamrat Woldetsadik
- Home Health Aide
- Washington, DC
National Provider Identifier
1902228398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA10123
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA10123 | DC | MD | Home 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.