CMS-1500 Box 24J / 33a • NPI
1346715307
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
2122 W KETTLEMAN LN, LODI, CA, 95242
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1346715307 (BIRHANU Z. ADMASSIE, FNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1346715307)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acyclovir Acyclovir | 12 | 11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 153 | 136 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 132 | 123 |
| Azithromycin Azithromycin | 118 | 111 |
| Baclofen Baclofen | 38 | 35 |
| Cephalexin Cephalexin | 23 | 22 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 28 | 27 |
| Clindamycin Hcl Clindamycin Hcl | 28 | 28 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1346715307 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BIRHANU Z. ADMASSIE, FNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2122 W KETTLEMAN LN, LODI, CA, 95242 |
| Practice Telephone / Fax | Tel: (209) 224-8517 |
| Administrative Mailing Address | 4059 LOST CANYON COURT, HOUSE, ANTIOCH, CA, 94531 |
| Enumeration & Last Sync | Enumerated: 2018-10-05 | CMS Record Updated: 2018-10-05 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in LODI
🔒 Are you BIRHANU Z. ADMASSIE, FNP? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BIRHANU Z. ADMASSIE, FNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: CA | License: 95009185 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.