Individual provider Active NPI

Delphine Atu-Tetuh

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1437516499
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
147514 Issued in AK
Practice address
3523 Mountain View Dr
Anchorage, AK 99508-1111
Phone
(907) 229-2621
NPI assigned
Jan 21, 2016
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 147514 AK Primary
Registered Nurse 163W00000X 27958 AK

Addresses

Primary practice location

3523 Mountain View Dr
Anchorage, AK 99508-1111

Mailing address

3523 Mountain View Dr
Anchorage, AK 99508-1111
Phone (907) 229-2621

Other identifiers 1

IdentifierTypeStateIssuer
1712190MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20211208000528 AK Practitioner - Nurse Practitioner 8729478672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4119 Mountain View Dr
Anchorage, AK 99508-1546
Phone (907) 222-4851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
27958AKMDRegistered Nurse
147514AKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvcmh-Kevin's House Past Accepting new patients
Mountain View Community Mental Health and Recovery Center LLC Psychiatric/Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: delphine.atu-tetuh.1@27047.direct.athenahealth.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, 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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1437516499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 MOUNTAIN VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081111",
            "telephone_number": "907-229-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 MOUNTAIN VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081111",
            "telephone_number": "907-229-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATU-TETUH",
        "first_name": "DELPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "147514",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "27958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712190",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.