Nanbon Tefera

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

20231461466 Issued in CO

Practice address

102 S Tejon St Ste 1113
Colorado Springs, CO 80903-2231

Phone

(720) 397-9519

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1053009951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S TEJON ST STE 1113",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032231",
            "telephone_number": "720-397-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S TEJON ST STE 1113",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032231",
            "telephone_number": "720-397-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFERA",
        "first_name": "NANBON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "20231461466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Tedesco, OTR/L
• Bethany Joy Tedford
• Krista Tedrow, PT
• Emilie Sage Teel
• Halle Teetor-Campbell
• Matthew Joseph Tefteller, DPM
• Yeshimebet Tegene
• Janelle Tejan
• Dinesh John Telang, MD
• Telebites Virtual Pediatric Feeding Center, LLC

• Non-emergency Medical Transport (VAN) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.