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TIZITA AMDE-MICHAEL CPNP NPI 1578731147


NPI Information

NPI: 1578731147
Provider Name: TIZITA AMDE-MICHAEL, CPNP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
600 ST PAUL AVE
SUITE 200
LOS ANGELES, CA
ZIP 90017
Phone: (213) 482-6400
Get Directions

Tizita Amde-michael, CPNP is a nurse practitioner in Los Angeles, CA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Tizita Amde-michael, CPNP NPI is 1578731147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 ST PAUL AVE
SUITE 200
LOS ANGELES, CA
ZIP 90017-038
Phone: (213) 482-6400
Fax: (213) 482-6408

The enumeration date for this NPI number is 2/15/2008 and was last updated on 1/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatrics17768CALIFORNIANo
2363LP0200XNurse PractitionerPediatrics661686CALIFORNIANo
3363LP0200XNurse PractitionerPediatrics4436WISCONSINNo
4363L00000XNurse Practitioner17768CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100500484 GROUPMEDICAIDNEVADA
21578731147MEDICAIDWISCONSIN
3WQBHVMEDICARE PINNEVADA
4100500484MEDICAIDCALIFORNIA
5WQBHVMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.