Tinsae A Tollesa I

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

31881 Issued in TN

Practice address

378 Bell Dr W
Winchester, TN 37398-5404

Phone

(940) 882-0570

NPI assigned

Jun 29, 2022

Last updated

May 15, 2025By 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

Enrolled in TN, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Mercy Behavioral Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winchester, TN
  • NPI 1518850395
  Medicare reassignment NPD Authorized official
• Neighborhood Health Clinics, Inc

  • Clinic/Center
  • Fort Wayne, IN
  • NPI 1548291222
  Medicare reassignment NPD
• Neighborhood Health Clinics, Inc

  • Clinic/Center
  • Fort Wayne, IN
  • NPI 1730989518
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1184356024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 BELL DR W",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373985404",
            "telephone_number": "940-882-0570",
            "fax_number": "931-815-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 BELL DR W",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373985404",
            "telephone_number": "940-882-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLESA",
        "first_name": "TINSAE",
        "middle_name": "A",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "31881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Works, LLC
• Therapy Works, LLC (Therapy Works DME)
• Kevin E Thompson, MD
• Hallie Ruane Thuenen, CRNP PNP-PC
• Jennifer Lynn Tinch, M.D., M.P.H.
• Ultimate Health Chiropractic PLLC
• Adam Vanzant
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0735)
• Wal-Mart Stores East, LP (Vision Center 30-0735)
• Katelyn Denise Walker, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Winchester, TN
• Providers in Winchester, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.