Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamerayehu Tolla, A-GNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1154020998

Tamerayehu Tolla, A-GNP-C is a Nurse Practitioner in Kansas City, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2022, 4 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
4
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS, MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030
Phone: (913) 681-2398
Fax: (913) 681-2416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2023010980 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 53-81975-102 (KS)

Record details

NPI number1154020998
Entity typeIndividual (Type 1)
GenderMale
Credentials A-GNP-C
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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