Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tsion Solomon Mamo, BSNFNPSTUDENT

Individual provider Family Nurse Practitioner · NPI 1225812209

Mrs. Tsion Solomon Mamo, BSNFNPSTUDENT is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2024, 2 years ago. Practices with Kiosk Medicine Kentucky LLC, a 171-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2023
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Practice location Address checks out

3039 Breckenridge Ln
Louisville, KY 40220-2101
Phone: (502) 451-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4042463 (KY)

Record details

NPI number1225812209
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSNFNPSTUDENT
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kiosk Medicine Kentucky Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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