Ete Kwegang

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R204709 Issued in MD

Practice address

108 Patriot Dr Ste a
Middletown, DE 19709-8803

Phone

(240) 701-7300

NPI assigned

Apr 20, 2021

Last updated

May 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Edel Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, DE
  • NPI 1033959119
  Authorized official Same address or phone

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1194306209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PATRIOT DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098803",
            "telephone_number": "240-701-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PATRIOT DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098803",
            "telephone_number": "240-701-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWEGANG",
        "first_name": "ETE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R204709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Koval, PHARMD
• Victor B Kozar, ATC
• Siasia Kromah
• Gerard A. Kuhn, MD
• Linda J Kurry, NP
• Shannon D Laird, PT
• Kristin Michelle Landau, MPT
• Molly Landers
• Kara Larson, PT, DPT
• Marilyn Lawson, LCSW-C

• Psychiatric/Mental Health Nurse Practitioner in Middletown, DE
• Providers in Middletown, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.