Individual provider Active NPI

Seble Getahun Tafesse, NP

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1942996327
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81095 Issued in KS
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

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81095KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Kansas LLC CurrentSince May 13, 2023 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Dec 17, 2023 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Dec 17, 2023 Accepting new patients
Align Family Health & Wellness Center LLC Family CurrentSince Oct 1, 2023 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.

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

Verify at the official NPI Registry.