Active NPI
Seble Getahun Tafesse, NP
- Family Nurse Practitioner
- Shawnee, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 81095
- Practice address
- 12616 W 62ND Ter Ste 112
Shawnee, KS 66216-1863 - Phone
- (913) 225-9783
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 81095 | KS | Primary |
Addresses
Primary practice location
12616 W 62ND Ter Ste 112
Shawnee, KS 66216-1863
Mailing address
17295 W 156TH Ter
Olathe, KS 66062-6337
Phone (913) 638-6981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81095 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of Kansas LLC | Current | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Current | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Current | Accepting new patients | |
| Align Family Health & Wellness Center LLC | Family | Current | Accepting new patients |
Locations
14744 W 119th St
Olathe, KS 66062
Phone (913) 839-1759
9099 W 135th St
Overland Park, KS 66221
Phone (913) 373-2230
12616 W 62nd Ter
Ste 112
Shawnee, KS 66216
Phone (913) 225-9783
614 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 741-0033
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Shawnee, KS
- NPI 1548991839
-
- Radiology Clinic/Center
- Roeland Park, KS
- NPI 1578178521
-
- Urgent Care Clinic/Center
- Shawnee, KS
- NPI 1942317854
-
- Multi-Specialty Clinic/Center
- Wichita, KS
- NPI 1780261701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1942996327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17295 W 156TH TER",
"city": "OLATHE",
"state": "KS",
"postal_code": "660626337",
"telephone_number": "913-638-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12616 W 62ND TER STE 112",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161863",
"telephone_number": "913-225-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFESSE",
"first_name": "SEBLE",
"middle_name": "GETAHUN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "81095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.