Individual provider Active NPI

Nadew Tesema Taddesse, NP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1881568160
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1171342 Issued in TX
Practice address
10602 Stone Canyon Rd Apt 150
Dallas, TX 75230-4428
Phone
(469) 237-7944
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 1171342 TX Primary

Addresses

Primary practice location

10602 Stone Canyon Rd Apt 150
Dallas, TX 75230-4428

Mailing address

10602 Stone Canyon Rd Apt 150
Dallas, TX 75230-4428
Phone (469) 237-7944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208000999 TX Practitioner - Nurse Practitioner 8729571773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bianco Brain and Spine, LLCGroup PAC ID 8426103243, 5 clinicians

Practice addresses (Care Compare)

2705 W Arkansas LN
Dalworthington Gardens, TX 76016-5818
Phone (817) 701-4253

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1171342TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bianco Brain & Spine, LLC Single Specialty CurrentSince Oct 20, 2025 Accepting new patients

Locations

2705 W Arkansas Ln
Dwg, TX 76016
Phone (817) 701-4253

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1881568160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10602 STONE CANYON RD APT 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304428",
            "telephone_number": "469-237-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10602 STONE CANYON RD APT 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304428",
            "telephone_number": "469-237-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDESSE",
        "first_name": "NADEW",
        "middle_name": "TESEMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1171342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.