Nana Bedua Tetteh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

88294 Issued in OK

Practice address

178 Ash NW
Piedmont, OK 73078-9769

Phone

(405) 642-0510

NPI assigned

Jun 9, 2019

Last updated

Jun 9, 2019By 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

Enrolled in OK

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deer Creek Family Healthcare and Wellness Clinic LLCGroup PAC ID 6709007099, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Deer Creek Family Healthcare and Wellness Clinic LLC

  • Primary Care Clinic/Center
  • Edmond, OK
  • NPI 1003227414
  Medicare reassignment Care Compare group NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1346809894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 ASH NW",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789769",
            "telephone_number": "405-642-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 ASH NW",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789769",
            "telephone_number": "405-642-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "NANA",
        "middle_name": "BEDUA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacked Hair LLC
• Tamra Dian States, DC
• Lynsi Marie Stcyr
• Jennifer Stevens, M.S., CCC-SLP
• Delphine Tambe
• Valerie Thomerson, BS, MA
• Transit With Care LLC (Transit with Care)
• Tanya M Tucker
• Valir Outpatient Clinic #15 LLC
• Variety Care, Inc.

• Family Nurse Practitioner in Piedmont, OK
• Providers in Piedmont, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.