Individual provider Active NPI

Alva M Teets Jr., CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1982916946
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.11575 Issued in OH
Practice address
2532 E Main St
Columbus, OH 43209-2443
Phone
(614) 235-3024
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN312231 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.11575 OH Primary

Addresses

Primary practice location

2532 E Main St
Columbus, OH 43209-2443

Mailing address

2532 E Main St
Columbus, OH 43209-2443
Phone (614) 235-3024

Other practice location 1

2532 E Main St
Columbus, OH 43209-2443
Phone (614) 235-2430

Other practice location 2

2532 E Main St
Bexley, OH 43209-2443
Phone (614) 235-3024

Other practice location 3

1615 Fishinger Rd
Columbus, OH 43221-2103
Phone (614) 293-7417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN312231OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982916946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092443",
            "telephone_number": "614-235-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092443",
            "telephone_number": "614-235-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2532 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432092443",
            "country_code": "US",
            "telephone_number": "614-235-2430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2532 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bexley",
            "state": "OH",
            "postal_code": "432092443",
            "country_code": "US",
            "telephone_number": "614-235-3024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Fishinger Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432212103",
            "country_code": "US",
            "telephone_number": "614-293-7417",
            "fax_number": "614-293-5167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEETS",
        "first_name": "ALVA",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN312231",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.11575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.