Letha Louise Tetrick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1036127 Issued in IN

Practice address

8101 Clearvista Pkwy
Suite 185
Indianapolis, IN 46256-4696

Phone

(317) 621-9000

Fax

(317) 621-9194

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1386698967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 CLEARVISTA PKWY",
            "address_2": "SUITE 185",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564696",
            "telephone_number": "317-621-9000",
            "fax_number": "317-621-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 CLEARVISTA PKWY",
            "address_2": "SUITE 185",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564696",
            "telephone_number": "317-621-9000",
            "fax_number": "317-621-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9669 E 146th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605006",
            "country_code": "US",
            "telephone_number": "317-621-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETRICK",
        "first_name": "LETHA",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "1036127",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "1036127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesmac LLC Dba Haven of Care Homehealth
• Amy Tesolin-Gee, MD
• Kristin A Teter, NP
• Anne M Tetrick, PA-C
• Letha Tetrick, DO
• Yvonne Patricia Teverbaugh, PHD
• Donald Teves, OT
• Yasmeen Malika Tevis, MSW
• Monica S Tewari, MD
• Vijay Tewari

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.