Active NPI
Eleth P. Teape, R.N.
- Case Manager/Care Coordinator
- Douglasville, GA
National Provider Identifier
1487964508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RN138662
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN138662 | GA | MD | Home 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.