Active NPI
Alexis Tebyanian, WHNP
- Women's Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN1043865
- Practice address
- 2150 Pennsylvania Ave NW
Washington, DC 20037-3201 - Phone
- (202) 741-2500
- NPI assigned
- Jul 20, 2015
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F421204 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | RN1043865 | DC | Primary |
Addresses
Primary practice location
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Mailing address
2150 Pennsylvania Ave, NW
Suite 5-102
Washington, DC 20037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1043865 | DC | MD | Women's Health Nurse Practitioner |
| F421204 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients |
Locations
2150 Pennsylvania Ave NW
Ste 5102
Washington, DC 20037
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Health Service Clinic/Center
- Rockville, MD
- NPI 1619787454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504224000000",
"number": "1962886960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE, NW",
"address_2": "SUITE 5-102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEBYANIAN",
"first_name": "ALEXIS",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2017-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F421204",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "DC",
"license": "RN1043865",
"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 Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.