Kidist Abate Tegegne, APRN-CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN.CNP.0028119 Issued in OH

Practice address

3917 Spring Grove Ave
Cincinnati, OH 45223-3302

Phone

(513) 357-7600

NPI assigned

Dec 16, 2020

Last updated

Jul 5, 2023By the provider in NPPES

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

Enrolled in OH

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of CincinnatiGroup PAC ID 3476467804, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1831102151
  Medicare reassignment Care Compare group NPD
• City of Cincinnati

  dba Ambrose Clement Health Center Pharmacy

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1477112308
  NPD
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1770598492
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1477149235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 MORNINGRIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452118242",
            "telephone_number": "513-378-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 SPRING GROVE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452233302",
            "telephone_number": "513-357-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGEGNE",
        "first_name": "KIDIST",
        "middle_name": "ABATE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0028119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Teeters, OTR/L, BCP
• Kirubel Tefera, M.D.
• Gedion B Teferra
• Taryn Tegarden, RN
• Bethlehem Tegegne
• Kayley Tegenkamp
• Shane Tegenkamp, DC
• Todd Alan Tegtmeier, MD
• Kenneth Bren Tegtmeyer, MD
• Ryan Teierle

• Primary Care Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.