Kassahun M Tessema

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60679857 Issued in WA

Practice address

2426 140TH St SW
Lynnwood, WA 98087-1216

Phone

(206) 446-4649

NPI assigned

Jul 31, 2024

Sex

Male

Sole proprietor

No

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1619706108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 140TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 140TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871216",
            "telephone_number": "206-446-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSEMA",
        "first_name": "KASSAHUN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60679857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Tembula, PHARMACY TECHNICIAN
• Valery L Teran
• Pavel Tereshchuk
• Andrea I Terrazas
• Yordanos Tsehaye Tesfai, RN
• Diwakar Thapa, PHARM D.
• The Bartell Drug Co
• The Bartell Drug Co
• The Center for Neurodiversity, LLC
• The Gallery of Cosmetic Surgery

• Registered Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.