Dafe Benedict Siebere, RN, BSN

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

License

RN235141 Issued in GA

Practice address

5402 Laurel Ridge Dr
Alpharetta, GA 30005-2606

Phone

(773) 653-7744

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1356835797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 LAUREL RIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052606",
            "telephone_number": "773-653-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 LAUREL RIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052606",
            "telephone_number": "773-653-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERE",
        "first_name": "DAFE",
        "middle_name": "BENEDICT",
        "name_prefix": "Mr.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN235141",
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "GA",
            "license": "RN235141",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "GA",
            "license": "RN235141",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "GA",
            "license": "RN235141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "RN235141",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Renee Shugan, FNP-C
• Jenell Shuman, LPC
• Shwsh LLC
• Sidcorp LLC
• Laylah Deshae Sidney
• Alyssa Brooke Siegel, SLP
• Signature Eyecare, Inc
• Silent Seniors Community Care LLC
• Silverlining 4Ever Inc.
• Brett S Silverman, DDS, MAGD, LLSR

• Registered Nurse in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.