Active NPI
Mayte Fekete, FNP
- Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-101045
- Practice address
- 2812 Hartford Hwy Ste 1
Dothan, AL 36305-4927 - Phone
- (334) 712-1170
- Fax
- (334) 460-8391
- NPI assigned
- Jun 8, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 141070 | AK | |
| Family Medicine Physician | 207Q00000X | 1-10145 | AL | |
| Nurse Practitioner | 363L00000X | 163286 | AK | |
| Nurse Practitioner | 363L00000X | 1-101045 | AL | Primary |
Addresses
Primary practice location
2812 Hartford Hwy Ste 1
Dothan, AL 36305-4927
Mailing address
2812 Hartford Hwy Ste 1
Dothan, AL 36305-4927
Phone (334) 712-1170
Other practice location 1
1970 Andrews Ave
Ozark, AL 36360-3726
Phone (334) 774-1555
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Beacon Pkwy W
Suite 202D
Birmingham, AL 35209-3102
Phone (954) 231-5484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141070 | AK | MD | Registered Nurse |
| 1-10145 | AL | MD | Family Medicine Physician |
| 163286 | AK | MD | Nurse Practitioner |
| 1-101045 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Wound Care Solutions LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family Medicine | Current | Accepting new patients |
| Regional Healthcare Group LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family Medicine | Current | Accepting new patients |
| Elemental Living Inc | Family Medicine | Current | Accepting new patients |
Locations
2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760
200 Beacon Pkwy W
Birmingham, AL 35209
Phone (205) 215-4211
301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320
Organizations & group practices 5
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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1336748300
AL, Family Medicine
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1972128718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 HARTFORD HWY STE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363054927",
"telephone_number": "334-712-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 HARTFORD HWY STE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363054927",
"telephone_number": "334-712-1170",
"fax_number": "334-460-8391"
}
],
"practiceLocations": [
{
"address_1": "1970 Andrews Ave",
"address_purpose": "LOCATION",
"city": "Ozark",
"state": "AL",
"postal_code": "363603726",
"country_code": "US",
"telephone_number": "334-774-1555",
"fax_number": "334-443-0213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEKETE",
"first_name": "MAYTE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "141070",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "1-10145",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "163286",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-101045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.