Healthcare Provider Details

I. General information

NPI: 1457218471
Provider Name (Legal Business Name): NEBYAT R GEBREMDHIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 14TH ST NW APT 601
WASHINGTON DC
20009-6808
US

IV. Provider business mailing address

6271 64TH AVE APT 1
RIVERDALE MD
20737-2961
US

V. Phone/Fax

Practice location:
  • Phone: 202-341-5661
  • Fax:
Mailing address:
  • Phone: 240-825-8944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: