Healthcare Provider Details

I. General information

NPI: 1720909500
Provider Name (Legal Business Name): SELAMAWIT NEGATU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 CLIFTON ST NW APT 116S
WASHINGTON DC
20009-7008
US

IV. Provider business mailing address

6100 14TH ST NW APT 304
WASHINGTON DC
20011-1759
US

V. Phone/Fax

Practice location:
  • Phone: 202-290-4107
  • Fax:
Mailing address:
  • Phone: 202-823-7129
  • 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: