Individual provider Active NPI

Teresa Kangethe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Tan Valley, AZ
National Provider Identifier
1982467395
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
303534 Issued in AZ
Practice address
4419 W Josephine St
San Tan Valley, AZ 85144-0317
Phone
(480) 274-5587
NPI assigned
Jan 31, 2024
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 303534 AZ Primary
Registered Nurse 163W00000X RN95451086 CA

Addresses

Primary practice location

4419 W Josephine St
San Tan Valley, AZ 85144-0317

Mailing address

4419 W Josephine St
San Tan Valley, AZ 85144-0317
Phone (480) 274-5587

Other practice location 1

400 W Forest Ave Apt 119
Coalinga, CA 93210-2567
Phone (480) 274-5587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241014002583 AZ Practitioner - Nurse Practitioner 4486186640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1855 W Baseline Rd
Suite 101
Mesa, AZ 85202-9098

4419 W Josephine St
San Tan Valley, AZ 85144-0317

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Beginnings LLC CurrentSince Nov 9, 2025 Accepting new patients
Mental Health Refreshed LLC CurrentSince Jul 1, 2025 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Aug 30, 2024 Accepting new patients
Community Bridges, Inc CurrentSince Aug 30, 2024 Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

110 E Second St
Winslow, AZ 86047
Phone (928) 289-1122

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: teresa.kangethenp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1982467395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 W JOSEPHINE ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851440317",
            "telephone_number": "480-274-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 W JOSEPHINE ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851440317",
            "telephone_number": "480-274-5587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Forest Ave Apt 119",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932102567",
            "country_code": "US",
            "telephone_number": "480-274-5587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANGETHE",
        "first_name": "TERESA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "303534",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95451086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.