Hailemariam Kebede

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

202106828RN Issued in OR

Practice address

1728 SE 58TH CT
Hillsboro, OR 97123-6267

Phone

(202) 717-3279

NPI assigned

Oct 9, 2023

Sex

Male

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

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.

• Comfort-Ride

  • Non-emergency Medical Transport (VAN)
  • Hillsboro, OR
  • NPI 1720802937
  NPD Authorized official
• Comfort58 CT Residential LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hillsboro, OR
  • NPI 1790648194
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1912788811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SE 58TH CT",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236267",
            "telephone_number": "202-717-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 SE 58TH CT",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236267",
            "telephone_number": "202-717-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBEDE",
        "first_name": "HAILEMARIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202106828RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snehdeep Kaur
• Richelle Kaye
• Kara Rae Kazemba, LCSW
• Brandon Scott Kearbey, DDS
• Malinda Brietta Kearbey, DDS
• David W. Keene, PA-C
• Hipsia Keister
• Camille Nicole Keith, LPC
• Ryan Kahae Kele, PHARMD
• Kristen J Kell, BSK, ATS

• Registered Nurse in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.