1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

AMANUEL KASSA TADESSE
NPI 1639055247
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since August 12, 2025
1611 NW 12 AVENUE, MIAMI FL 33136, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 24, 2025, Aug 12, 2025 (2 updates tracked since 2025).

About Amanuel Kassa Tadesse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANUEL KASSA TADESSE (NPI 1639055247) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1639055247
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANUEL KASSA TADESSE
Location Address1611 NW 12 AVENUE, MIAMI FL 33136Miami, FL 33136
Mailing AddressMaraki Street GondarGondar, AMAHARE 00196
Phone(305) 355-1122
Sole ProprietorNo
Enumeration DateAugust 12, 2025
Last NPPES UpdateDecember 24, 20252 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1639055247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1611 NW 12 AVENUE, MIAMI FL 33136, Miami, FL 33136
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANISH LAUL
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE, MIAMI FL 33136
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
AO WANG M.D.
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE, MIAMI FL 33136
MIAMI, FL 33136
Miami-Dade County (305) 585-1280
SUSHMITA PANDEY
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE, MIAMI FL 33136
MIAMI, FL 33136
Miami-Dade County (305) 355-1122
ANANTHAKRISHNAN SURESH
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE, MIAMI FL 33136
MIAMI, FL 33136
Miami-Dade County (305) 355-1122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanuel Tadesse's NPI number?

The NPI number for Amanuel Tadesse is 1639055247. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Amanuel Tadesse located?

Amanuel Tadesse practices at 1611 NW 12 Avenue, Miami Fl 33136, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Amanuel Tadesse's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanuel Tadesse was last updated on December 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.