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Asmeret Tewolde, NP

Nurse Practitioner in Washington, DC. Individual provider (NPI-1).

NPI number1366095895
StatusActive
Last updated in NPPESAug 15, 2020

Details

NPI
1366095895
Entity type
Individual (NPI-1)
Name
Asmeret Tewolde
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 23, 2019
Certification date
Aug 15, 2020
Last updated
Aug 15, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN1012983DCYes
207Q00000X Family MedicineRN1012983DC
163W00000X Registered NurseRN1DC

Practice location

106 Irving St Nw Ste 208
Washington, DC 20010-2993

Phone 202-722-6040

Mailing address

524 Tuckerman St Nw
Washington, DC 20011-1249

Phone 804-319-0417

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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