SERKALEM GETAHUN SISAY


Address: 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939
Phone: 8169311883

SERKALEM GETAHUN SISAY (NPI# 1124397740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124397740
Entity Type Individual
Full Name SERKALEM GETAHUN SISAY
Credential RN, ANP-BC
Practice Address 4330 Wornall Road
Suite 2000
Kansas City
MO 64111-5939
Practice Telephone 8169311883
Practice Fax Number 8167563645
Mailing Telephone 8169311883
Mailing Fax Number 8167563645
Enumeration Date 2011-12-28
Last Update Date 2013-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
53-75224-122 KS Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2011035007 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4330 WORNALL ROAD
SUITE 2000
City KANSAS CITY
State MO
Zip Code 64111-5939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275611410 Patricia Lynn Walsh Clinical Nurse Specialist 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939 2006-11-02
1427418458 Melissa Murphy Nurse Practitioner 4330 Wornall Road, Suite 2000, Kansas City, MO 64111 2016-03-03
1790087922 Shirley A Verbenec Registered Nurse 4330 Wornall Road, Suite 2000, Kansas City, MO 64111 2010-11-19
1114161031 Tiffany L. Meyers Nurse Practitioner 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939 2009-04-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242810 Kristen Casey Psychologist 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 2020-07-09
1336765015 Tyler Hoelting Chiropractor 3611 Main Street, Kansas City, MO 64111 2020-06-18
1003452764 Sarah Anne Heavey Nurse Practitioner 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 2019-11-18
1558844241 Guardian Angels, LLC Home Health 4049 Pennsylvania Ave, Kansas City, MO 64111 2018-09-10
1730669169 Hannah Eagleburger Physician Assistant 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 2018-08-15
1316460835 Kandace Callwell Counselor 4106 Baltimore Ave, Kansas City, MO 64111 2017-07-18
1780046250 Sara Koenemann Nurse Practitioner 4400 Broadway St., Ste. 520, Kansas City, MO 64111 2016-03-24
1932586245 Suzzette Griffith Acupuncturist 406 W 34th Street Ste 812, Kansas City, MO 64111 2015-05-06
1972999225 Timothy O Olatunde Emergency Medicine 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
1730595026 Morgan Nelson Audiologist 4230 Wornall Road, Suite 420, Kansas City, MO 64111 2014-07-07
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902260631 Nancy Grable Nurse Practitioner 11218 Winchester Dr, Kansas City, KS 66109-4087 2016-04-08
1881055754 Maria Evans Nurse Practitioner 1412 Nw Vivion Rd, Kansas City, MO 64118-4555 2016-03-18
1831585355 Michelle Goss Nurse Practitioner 5527 Central St, Kansas City, MO 64113-1205 2015-04-10
1831501592 Nicole Marshall-ebersole Nurse Practitioner 2121 Central St Apt 602, Kansas City, MO 64108-2070 2014-05-28
1851631576 Christopher M Martinez Nurse Practitioner 4321 Washington St., Suite 5100, Kansas City, MO 64111 2013-02-16
1225122518 Patricia A Cyrus Nurse Practitioner 7900 Lee's Summit Rd, Kansas City, MO 64139 2006-10-03
1740371863 Virgie Hickmon Nurse Practitioner 4801 Linwooe, Kansas City, MO 64128 2006-09-27
1740236678 Rebecca J Vanscoy Nurse Practitioner 4321 Washington St Ste 6000, Kansas City, MO 64111-5930 2006-05-25
1689622417 Maithe Enriquez Nurse Practitioner 2340 E Meyer Blvd, Bldg 2, Suite 392, Kansas City, MO 64132 2006-05-04
1316906803 Azam Chizari Nurse Practitioner 1610 Washington Blvd, Kansas City, KS 66102-2842 2006-03-22
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Competitor

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City KANSAS CITY
Zip Code 64111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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