Individual provider Active NPI

Seble Embay Tesfay, REGISTERED NURSE

  • Registered Nurse
  • Edmonds, WA
National Provider Identifier
1689194862
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00158558 Issued in WA
Practice address
6529 141St St SW
Edmonds, WA 98026-3515
Phone
(206) 817-9010
Fax
(206) 817-9010
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00158558 WA Primary

Addresses

Primary practice location

6529 141St St SW
Edmonds, WA 98026-3515

Mailing address

6529 141St St SW
Edmonds, WA 98026-3515
Phone (206) 817-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN00158558WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1689194862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 141ST ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263515",
            "telephone_number": "206-817-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 141ST ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263515",
            "telephone_number": "206-817-9010",
            "fax_number": "206-817-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAY",
        "first_name": "SEBLE",
        "middle_name": "EMBAY",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00158558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.