Individual provider Active NPI

Samrawit Z Fesshaie

  • Poetry Therapist
  • Aurora, CO
National Provider Identifier
1295316628
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Poetry TherapistTaxonomy code 102X00000X
Practice address
4003 S Uravan St
Aurora, CO 80013-3342
Phone
(720) 401-1519
NPI assigned
Apr 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Poetry Therapist 102X00000X Primary

Addresses

Primary practice location

4003 S Uravan St
Aurora, CO 80013-3342

Mailing address

4003 S Uravan St
Aurora, CO 80013-3342
Phone (720) 401-1519

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

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1295316628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 S URAVAN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133342",
            "telephone_number": "720-401-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 S URAVAN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133342",
            "telephone_number": "720-401-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSHAIE",
        "first_name": "SAMRAWIT",
        "middle_name": "Z",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.