Active NPI
Tetteh Narteh
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1457950883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3015300
- Practice address
- 11510 Willow Branch Dr
Louisville, KY 40291-4525 - Phone
- (502) 807-0726
- Fax
- (502) 713-2523
- NPI assigned
- Oct 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 3015300 | KY | Primary |
Addresses
Primary practice location
11510 Willow Branch Dr
Louisville, KY 40291-4525
Mailing address
500 W Jefferson St
Ste 2310
Louisville, KY 40202-2881
Phone (502) 371-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210113002102 | KY | Practitioner - Nurse Practitioner | 0941613889 | Practice locations: Louisville, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Medical Practice PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1669841631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1457950883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W JEFFERSON ST",
"address_2": "STE 2310",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022881",
"telephone_number": "502-371-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 WILLOW BRANCH DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914525",
"telephone_number": "502-807-0726",
"fax_number": "502-713-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARTEH",
"first_name": "TETTEH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-16",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3015300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.