Ambaye Wondie Gebru, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60242725 Issued in WA

Practice address

7229 69TH Ave NE
Marysville, WA 98270-7743

Phone

(206) 229-7706

Fax

(360) 691-9955

NPI assigned

Feb 28, 2019

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Green Hill View Afh LLC

  • Nursing Care Agency
  • Marysville, WA
  • NPI 1295292910
  NPD (past) Authorized official

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1912464645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 69TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707743",
            "telephone_number": "206-229-7706",
            "fax_number": "360-691-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 69TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707743",
            "telephone_number": "206-229-7706",
            "fax_number": "360-691-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRU",
        "first_name": "AMBAYE",
        "middle_name": "WONDIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60242725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wand Y Gan, M.D.
• Danielson Garcia, RPH
• Trista Garcia, CDPT
• Corey Gardner
• Katherine Veronica Gaudette, ARNP
• Larissa Gemmer-Block, LMT
• Russell James Gemmer, R.PH.
• Joseph Lee Gendreau, DO
• Negasi Yohannes Ghebreyesus Sr., CNA
• Cheyenne Gill, DNP, ARNP, FNP-C

• Registered Nurse in Marysville, WA
• Providers in Marysville, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.