Individual provider Active NPI

Jonathan Tetteh

  • Registered Nurse
  • Centerville, OH
National Provider Identifier
1154835999
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN437791 Issued in OH
Practice address
30 Bradstreet Rd Apt 12
Centerville, OH 45459-4546
Phone
(937) 554-0067
NPI assigned
Nov 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN437791 OH Primary

Addresses

Primary practice location

30 Bradstreet Rd Apt 12
Centerville, OH 45459-4546

Mailing address

30 Bradstreet Rd Apt 12
Centerville, OH 45459-4546
Phone (937) 554-0067

Other practice location 1

30 Bradstreet Rd Apt 12
Centerville, OH 45459-4546
Phone (937) 554-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN437791OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grace and Hope Home Health Care Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154835999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRADSTREET RD APT 12",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594546",
            "telephone_number": "937-554-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRADSTREET RD APT 12",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594546",
            "telephone_number": "937-554-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Bradstreet Rd Apt 12",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594546",
            "country_code": "US",
            "telephone_number": "937-554-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN437791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.