Debisa Kenate Woyessa Sr.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

122 W Franklin Ave Ste 510
Minneapolis, MN 55404-2454

Phone

(763) 222-6575

Fax

(612) 320-3257

NPI assigned

Aug 15, 2023

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

Practice roles

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.

• Wellshare International

  • Community Health Worker
  • Minneapolis, MN
  • NPI 1487191201
  NPD (past)

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1326821208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14375 ANNAPOLIS LN N",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "553274428",
            "telephone_number": "612-670-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W FRANKLIN AVE STE 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042454",
            "telephone_number": "763-222-6575",
            "fax_number": "612-320-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYESSA",
        "first_name": "DEBISA",
        "middle_name": "KENATE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Keith Wotipka
• Stacia Rene Wotring, RN
• Kacie Nicole Wottreng, CRNA
• Wound Company Provider Group, Inc.
• Wound Company Provider Group, P.a.
• Tiffany Woynilko, RN
• Hannah Woytek
• Jeffrey R Wozniak, PHD
• Wraparound House Calls, LLC
• Paul Wratkowski, DO

• Community Health Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community Health Worker in Minnesota

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