Individual provider Active NPI

Tsehay M Seyoum, RND

  • Registered Nurse
  • Lynnwood, WA
National Provider Identifier
1073159828
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60276633 Issued in WA
Practice address
16432 40TH PL W
Lynnwood, WA 98037-9023
Phone
(206) 919-8722
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60276633 WA Primary

Addresses

Primary practice location

16432 40TH PL W
Lynnwood, WA 98037-9023

Mailing address

16432 40TH PL W
Lynnwood, WA 98037-9023
Phone (206) 919-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60276633WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Nurse Delegation PLLC Registered Nurse CurrentSince Feb 23, 2020 Accepting new patients
US Inns Adult Family Home Inc PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1073159828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16432 40TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980379023",
            "telephone_number": "206-919-8722",
            "fax_number": "425-357-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16432 40TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980379023",
            "telephone_number": "206-919-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYOUM",
        "first_name": "TSEHAY",
        "middle_name": "M",
        "credential": "RND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60276633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.