Debora Tenter, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704157430 Issued in MI

Practice address

3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511

Phone

(269) 428-0819

Fax

(269) 428-0841

NPI assigned

Jul 13, 2016

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lakeland Medical Practices

  dba Corewell Health Medical Group South

  • Internal Medicine Physician
  • Saint Joseph, MI
  • NPI 1538397120
  Medicare reassignment NPD
• Lake Michigan Nephrology, L.L.C

  • Specialist
  • Saint Joseph, MI
  • NPI 1821201500
  Medicare reassignment
• Lakeland Medical Practices

  dba Corewell Health Medical Group South

  • Internal Medicine Physician
  • Bridgman, MI
  • NPI 1568232247
  NPD

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1467804567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD STE 100",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD STE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858511",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENTER",
        "first_name": "DEBORA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704157430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Kaling Tam, MD
• Hiu Tung Tang
• Carlos Alberto Tavarez
• Brian Timothy Taylor
• Shervin Tehrani-Rad, PSYD, MPH
• David W Terhune, M.D.
• Teter Orthotics & Prosthetics, Inc (Hanger Clinic)
• The Benton Harbor-St. Joseph Young Men's Christian Association
• The Pharmacy Shoppe, Inc. (Corewell Health Retail Pharmacy - St. Joseph)
• The Wholehearted Classoom

• Family Nurse Practitioner in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.