Active NPI
Teika Takedai
- Family Nurse Practitioner
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP021940
- Practice address
- 95 Leonard Ave Ste 200
Washington, PA 15301-3368 - Phone
- (724) 223-3100
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP021940 | PA | Primary |
Addresses
Primary practice location
95 Leonard Ave Ste 200
Washington, PA 15301-3368
Mailing address
95 Leonard Ave Ste 200
Washington, PA 15301-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021940 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Current | Accepting new patients | |
| Concordia Hospice of Washington | Current | Accepting new patients | |
| Upmc Washington | Current | Accepting new patients | |
| Greater Washington Radiologists, Inc. | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
95 Leonard Ave
Ste 200
Washington, PA 15301
Phone (724) 223-1530
95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100
95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
100 E Lancaster Ave
Ste 330
Wynnewood, PA 19096
Phone (610) 645-6555
Interoperability endpoints
- teika.takedai.p2@direct.alegiscare.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Family Medicine Physician
- Washington, PA
- NPI 1922077205
-
- Inpatient Hospice
- Canonsburg, PA
- NPI 1801990122
-
- Diagnostic Radiology Physician
- Washington, PA
- NPI 1932107257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1235740457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 LEONARD AVE STE 200",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 LEONARD AVE STE 200",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013368",
"telephone_number": "724-223-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKEDAI",
"first_name": "TEIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP021940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.