Farrah Tetteh

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0000000 Issued in FL

Practice address

7166 N Nob Hill Rd
Tamarac, FL 33321-1839

Phone

(954) 718-8700

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

Yes

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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: farrah.tetteh.1@32578.direct.athenahealth.com

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.

• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  Medicare reassignment NPD
• Athens Family Medicine LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1427418391
  NPD (past)

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1942802384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7166 N NOB HILL RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211839",
            "telephone_number": "954-718-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7166 N NOB HILL RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211839",
            "telephone_number": "954-718-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "FARRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010328",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Semone Taylor, LPN
• Ted H. Brady,D.O.,PA
• Templo Dental LLC
• Tender Loving Care Health Care Services of Broward, LLC
• Johnny Jose Teran, ISW19787
• Durgesh D. Thaker, B.D.S.
• The Eyeglass Man Inc.
• The First Step Health Foundation Inc,
• The Healer'S Herald LLC
• The Pointe of Inverrary, LLC

• Primary Care Nurse Practitioner in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.