DERARTU FESSA HAYATO
NPI 1912629890
Clinical Nurse Specialist - Long-Term Care in White Bear Lake, MN

Q: What is Derartu Hayato's NPI number?

The NPI number for Derartu Hayato is 1912629890. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Q: What is Derartu Hayato's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

Q: When was this NPI record last updated?

The NPPES record for Derartu Hayato was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2022

3857 VAN DYKE ST, WHITE BEAR LAKE, MN 55110(952) 688-7128 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derartu Fessa Hayato NPPES

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

DERARTU FESSA HAYATO (NPI 1912629890) is an individual long-term care provider in White Bear Lake, Minnesota, licensed in Minnesota (1109803) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1912629890

Entity TypeIndividualFemale

Primary Taxonomy364SL0600X

Provider Legal NameDERARTU FESSA HAYATO

Location Address3857 VAN DYKE STWhite Bear Lake, MN 55110-4347

Mailing Address3857 Van Dyke StWhite Bear Lake, MN 55110-4347 · (952) 688-7128

Phone(952) 688-7128

Sole ProprietorNo

Enumeration DateSeptember 16, 2022

Last NPPES UpdateMay 31, 2024

NPPES CertifiedMay 31, 2024

✔ NPI 1912629890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Long-Term CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SL0600X

License✔ Licensed in MN · 1109803

3857 VAN DYKE ST, White Bear Lake, MN 55110

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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 Derartu Hayato's NPI number?

The NPI number for Derartu Hayato is 1912629890. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Where is Derartu Hayato located?

Derartu Hayato practices at 3857 Van Dyke St, White Bear Lake, MN 55110. The listed phone number is (952) 688-7128.

What is Derartu Hayato's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

When was this NPI record last updated?

The NPPES record for Derartu Hayato was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.