Individual provider Active NPI

Tete Dzramedo Teagbo

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1750134482
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0999665 Issued in CO
Practice address
8181 E Tufts Ave Ste 560
Denver, CO 80237-2559
Phone
(720) 669-3480
Fax
(720) 669-3480
NPI assigned
Apr 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 0999665 CO Primary

Addresses

Primary practice location

8181 E Tufts Ave Ste 560
Denver, CO 80237-2559

Mailing address

25084 E Byers Dr
Aurora, CO 80018-4659
Phone (720) 427-9447

Other practice location 1

999 17th St Ste 500
Denver, CO 80202-2728
Phone (720) 434-4876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240429001655 CO Practitioner - Nurse Practitioner 8628418324 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0999665COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Family Medical Center Inc CurrentSince Aug 6, 2025 Accepting new patients
Foothills Vaccine Clinic LLC Family Past Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497

Organizations & group practices 2

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1750134482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25084 E BYERS DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800184659",
            "telephone_number": "720-427-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 E TUFTS AVE STE 560",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372559",
            "telephone_number": "720-669-3480",
            "fax_number": "720-669-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 17th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022728",
            "country_code": "US",
            "telephone_number": "720-434-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZRAMEDO TEAGBO",
        "first_name": "TETE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0999665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.