Individual provider Active NPI

Eleth P. Teape, R.N.

  • Case Manager/Care Coordinator
  • Douglasville, GA
National Provider Identifier
1487964508
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
RN138662 Issued in GA
Practice address
6334 Dorsett Shoals Rd
Douglasville, GA 30135-4624
Phone
(770) 826-3959
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X RN138662 GA Primary
Nursing Care Agency 251J00000X RN138662 GA
In Home Supportive Care Agency 253Z00000X RN138662 GA
Home Infusion Agency 251F00000X RN138662 GA
Licensed Practical Nurse 164W00000X RN138662 GA
Registered Nurse 163W00000X RN138662 GA
Health Educator 174H00000X RN138662 GA
Administrator Registered Nurse 163WA2000X RN138662 GA
Case Management Registered Nurse 163WC0400X RN138662 GA
Continuing Education/Staff Development Registered Nurse 163WC1600X RN138662 GA
Community Health Registered Nurse 163WC1500X RN138662 GA
Continence Care Registered Nurse 163WC2100X RN138662 GA
Ostomy Care Registered Nurse 163WX1500X RN138662 GA

Addresses

Primary practice location

6334 Dorsett Shoals Rd
Douglasville, GA 30135-4624

Mailing address

6334 Dorsett Shoals Rd
Douglasville, GA 30135-4624
Phone (770) 826-3959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN138662GAMDHome Infusion Agency

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1487964508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 DORSETT SHOALS RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354624",
            "telephone_number": "770-826-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 DORSETT SHOALS RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354624",
            "telephone_number": "770-826-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAPE",
        "first_name": "ELETH",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "RN138662",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "GA",
            "license": "RN138662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.