Getachew Genetu Tegegne, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0-672-338-1 Issued in ZZ

Practice address

821 Ulrich Ave
Louisville, KY 40219-1844

Phone

(317) 515-9622

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tegegne@naturalwellnessclinics.com

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1518531623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5876 MARCO CT",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687534",
            "telephone_number": "317-515-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 ULRICH AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191844",
            "telephone_number": "317-515-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGEGNE",
        "first_name": "GETACHEW",
        "middle_name": "GENETU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "0-672-338-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tegegne@naturalwellnessclinics.com",
            "affiliation": "Y",
            "affiliationName": "Natural Wellness Clinics, LLC",
            "address_1": "821 Ulrich Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402191844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Elizabeth Teeple, CERT. HEALTH COACH
• Mistie Rachelle Teer, APRN
• Jasmine Tifarah Teeters
• Rahel A Teferra, M.D.
• Tessa Tegarden, PTA
• Judy F Teill, LCSW
• Julio Alexander Tejeda Mejias, APRN
• Ademilola T. Tejuoso
• Nandita D Telang, M.D.
• Sucheta Telang, MD

• General Practice Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.