Nazareth Tesfasilase, ADMIN, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN95205516 Issued in CA

Practice address

7216 Palm Ave Ste C
Highland, CA 92346-3280

Phone

(909) 782-6925

NPI assigned

Jul 11, 2021

Last updated

Jul 11, 2021By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Abbey's Home, LLC.

  • Lodging Provider
  • Fontana, CA
  • NPI 1164194684
  NPD Authorized official
• Alliance Nursing LLC

  • Home Health Agency
  • Highland, CA
  • NPI 1770253361
  NPD Authorized official

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1770155764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 PALM AVE STE C",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463280",
            "telephone_number": "909-782-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7216 PALM AVE STE C",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463280",
            "telephone_number": "909-782-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFASILASE",
        "first_name": "NAZARETH",
        "credential": "ADMIN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "RN95205516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "file",
            "affiliation": "N",
            "endpointDescription": "Electronic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Electronic",
            "address_1": "7216 Palm Ave Ste C",
            "city": "Highland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923463280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "file",
            "affiliation": "N",
            "endpointDescription": "Electronic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7216 Palm Ave Ste C",
            "city": "Highland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923463280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renata Swanston, D.O.
• Philip Joseph Swiderski
• Baraa Taleb, RPH
• Kyera E Tate
• Charlize Terrones
• Mackinsey Tessitore
• Hao Ngoc Thai, MD
• Timothy Thue, P.A.
• Marcel Tillman
• Ymelda Susana Tito

• Home Health Registered Nurse in Highland, CA
• Providers in Highland, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.