Erimias Adugna
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Olathe, KS
NPI 1699593418 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1699593418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 53-82251-031 (KS)
- Practice address
- 17474 W 164TH Ter
Olathe, KS 66062-8136 - Phone
- (913) 687-9401
- NPI assigned
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-82251-031 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-82251-031 | KS | Yes |
Addresses
Primary practice location
17474 W 164TH Ter
Olathe, KS 66062-8136
Mailing address
17474 W 164TH Ter
Olathe, KS 66062-8136
Phone (913) 687-9401
Other providers in Olathe, KS
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- Alexis Leikam Aden
- Olanre Adetu
- Adesiji Joseph Adewunmi
- Adriel Skilled Residential & Day LLC
- Advacare Medical Corp
- Advanced Clinical Solutions
- Advanced Clinical Solutions
- Advanced Healthcare & Sports Injury PA
- Advanced Healthcare & Sports Injury, PA
All providers in Olathe, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.