Eyerusalem Tefera

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-82209-052 Issued in KS

Practice address

7450 Quivira Rd
Shawnee, KS 66216-3526

Phone

(913) 706-2508

NPI assigned

Sep 19, 2023

Sex

Female

Sole proprietor

No

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 KS

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS

  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Kansas H LLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1073407227

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1184402232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 QUIVIRA RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662163526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 QUIVIRA RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662163526",
            "telephone_number": "913-706-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFERA",
        "first_name": "EYERUSALEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82209-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chih-Yun Tao
• Shamayne Tate, L.AC.
• Tarah Tavis
• Kalani Alexzandrea Taylor
• Melonie B Taylor
• Cailin Ten Bensel
• Taylor Tenney
• Kazuma Terada, MBA
• Jennifer Sue Terrien, PMHNP-BC
• Olivia Terryberry

• Family Nurse Practitioner in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.