Eleni Chaka Desissa

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

950321 Issued in TX

Practice address

11655 Audelia Rd Apt 1001
Dallas, TX 75243-0807

Phone

(214) 431-6639

NPI assigned

Jul 30, 2018

Sex

Female

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

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1386122778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11655 AUDELIA RD APT 1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752430807",
            "telephone_number": "214-431-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11655 AUDELIA RD APT 1001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752430807",
            "telephone_number": "214-431-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESISSA",
        "first_name": "ELENI",
        "middle_name": "CHAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "950321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kateryna Desheva, RD
• Pranav Deshpande, M.D.
• Diamond Desilva
• Nirupama Kakarla Desilva, MD
• Desired Transportation LLC
• Kristen Lee Desjardins, M.S., CCC-SLP
• Ronald Wilson Deskin, MD
• Desnak PA
• Desoto Surgicare Partners, LTD
• Stephanie Despaint, CRT

• Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.