Individual provider Active NPI

Tetteh Narteh

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1457950883
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015300 Issued in KY
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

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113002102 KY Practitioner - Nurse Practitioner 0941613889 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 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.

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

Verify at the official NPI Registry.