Genet Taddese, RN/BSN

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

342700470 Issued in CA

Practice address

8223 Twin Oaks Ave
Citrus Heights, CA 95610-0611

Phone

(916) 539-1767

Fax

(916) 723-0138

NPI assigned

Jul 10, 2019

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

Other names 1

• Miss Genet Taddese Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1811549728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 TWIN OAKS AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100611",
            "telephone_number": "916-539-1767",
            "fax_number": "916-723-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 TWIN OAKS AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100611",
            "telephone_number": "916-539-1767",
            "fax_number": "916-723-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDESE",
        "first_name": "GENET",
        "name_prefix": "Miss",
        "credential": "RN/BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "342700470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENET",
            "last_name": "TADDESE",
            "prefix": "MISS",
            "credential": "RN/BSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Superb Care Services LLC
• Supreme Lanes Transportation Inc
• Susan Baldwin, OD & Associates
• William H Swearingen, DDS
• Jason Szuszitzky
• Haillie Adoley Tagoe
• Dixita Tailor
• Alexis R Taiviti
• Alan Kevin Tanner, D.D.S.
• Kevin Tanner, D.D.S.

• Assisted Living Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.