Dede E Echitey, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01435100 Issued in NJ

Practice address

5483 Mooretown Rd
Williamsburg, VA 23188-2108

Phone

(757) 941-6400

Fax

(757) 565-0620

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NY, TX, DC4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Family and Children'S AssociationGroup PAC ID 4587554928, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dede.echiteyapn.p1@direct.cfg.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4

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.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  TX

  Medicare reassignment Care Compare group
• Family and Children'S Association - Hicksville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hicksville, NY
  • NPI 1528159217
  Medicare reassignment Care Compare group
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, NY, Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Home Physicians Medical Group, Inc.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1770523169
  Medicare reassignment NPD
• Mellow Medical Inc a Professional Corporation

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1407275886
  Medicare reassignment NPD
• Family and Children'S Association - Hempstead

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hempstead, NY
  • NPI 1558462671
  NPD
• Family and Children'S Association - Linkage

  • Mental Health Counselor
  • Garden City, NY
  • NPI 1164187449
  NPD

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1821474412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 RONSON CT",
            "address_2": "STE 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111805",
            "telephone_number": "858-279-1212",
            "fax_number": "858-279-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5483 MOORETOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882108",
            "telephone_number": "757-941-6400",
            "fax_number": "757-565-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHITEY",
        "first_name": "DEDE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172750",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403717",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01435100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern State Hospital
• Eastern State Hospital
• Eastern State Hospital
• Ebg Counseling LLC
• Bushra Ebneof
• Eckerd Corporation
• Eckerd Corporation
• Eckerd Corporation
• Kristina F. Edmonds, OT
• Edward H Tiller PHD PC

• Psychiatric/Mental Health Nurse Practitioner in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.