Negussie Amsale Gebrmariam

Primary specialty

DriverTaxonomy code 172A00000X

License

38828253 Issued in TX

Practice address

7610 Cameron Rd Apt 2071
Austin, TX 78752-2050

Phone

(956) 367-1967

NPI assigned

Sep 29, 2017

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Transportation LLC

  dba No

  • Non-emergency Medical Transport (VAN)
  • Manor, TX
  • NPI 1669161618
  NPD Authorized official

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1952810269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14908 TUFF RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532217",
            "telephone_number": "956-367-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CAMERON RD APT 2071",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787522050",
            "telephone_number": "956-367-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRMARIAM",
        "first_name": "NEGUSSIE",
        "middle_name": "AMSALE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "38828253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia F. Gebbia-Richards, LMSW
• Lea Peyton Gebhardt, PHD, RDN, LDN
• Katherine Elizabeth Gebhart, OTR
• Wubet Girma Gebrehiwot, MD
• Henok T Gebresilasse
• Matthew J Geck, M.D.
• Elizabeth Rebecca Geddes-Bruce, M.D.
• Sarah Noranne Gee, M.D.
• Constance Anne Geerhart, LCSW
• Elizabeth Leigh Geeslin, LMFT

• Driver in Austin, TX
• Providers in Austin, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.