Individual provider Active NPI

Yirga Gebru Woldeabezgi, RN

  • Registered Nurse
  • West Henrietta, NY
National Provider Identifier
1962832816
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
595444-1 Issued in NY
Practice address
16 Harrogate Xing
West Henrietta, NY 14586-9482
Phone
(585) 281-2580
NPI assigned
Nov 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 595444-1 NY Primary

Addresses

Primary practice location

16 Harrogate Xing
West Henrietta, NY 14586-9482

Mailing address

16 Harrogate Xing
West Henrietta, NY 14586-9482
Phone (585) 281-2580

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
595444-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1962832816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HARROGATE XING",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869482",
            "telephone_number": "585-281-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HARROGATE XING",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869482",
            "telephone_number": "585-281-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDEABEZGI",
        "first_name": "YIRGA",
        "middle_name": "GEBRU",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "595444-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.