Active NPI
Tekondia Carter
- Family Nurse Practitioner
- Butler, AL
National Provider Identifier
1629595285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-122832
- Practice address
- 340 Carnation Dr
Butler, AL 36904-3164 - Phone
- (205) 457-4571
- NPI assigned
- Aug 24, 2017
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-122832 | AL | Primary |
Addresses
Primary practice location
340 Carnation Dr
Butler, AL 36904-3164
Mailing address
340 Carnation Dr
Butler, AL 36904-3164
Phone (205) 457-4571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-122832 | AL | MD | Family Nurse Practitioner |
| 901998 | MS | MD | Certified Registered Nurse Anesthetist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629595285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 CARNATION DR",
"city": "BUTLER",
"state": "AL",
"postal_code": "369043164",
"telephone_number": "205-457-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 CARNATION DR",
"city": "BUTLER",
"state": "AL",
"postal_code": "369043164",
"telephone_number": "205-457-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TEKONDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-122832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, AL
- Blue Ridge Healthcare Willow Trace LLC
- Janice Hale Bradford, CRNP
- Antonio Bush
- Butler Health and Rehab LLC
- Butler Optical Center,Inc
- Centerwell Certified Healthcare Corp. (Centerwell Home Health)
- Choctaw County
- Choctaw County Emergency Medical Services Inc. (Choctaw Ambulance Services)
- Choctaw County Health Dept Adult Immun
- Choctaw County Health Dept AIDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.