Individual provider Active NPI

Mayte Fekete, FNP

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1972128718
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-101045 Issued in AL
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

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418000477 AL Practitioner - Nurse Practitioner 7517317159 Reassigns benefits to 4 organizations

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
Elemental Living IncGroup PAC ID 7214385822, 8 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
141070AKMDRegistered Nurse
1-10145ALMDFamily Medicine Physician
163286AKMDNurse Practitioner
1-101045ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Care Solutions LLC CurrentSince May 1, 2025 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Regional Healthcare Group LLC CurrentSince Mar 16, 2025 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Elemental Living Inc Family Medicine CurrentSince Jul 13, 2025 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.

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

Verify at the official NPI Registry.