Active NPI
Rayni L Teeter, MD
- Pediatrics Physician
- Joplin, MO
National Provider Identifier
1043249626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2005013271
- Practice address
- 3126 Wisconsin Ave
Joplin, MO 64804-2873 - Phone
- (417) 626-7337
- Fax
- (417) 731-3082
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2005013271 | MO | Primary |
Addresses
Primary practice location
3126 Wisconsin Ave
Joplin, MO 64804-2873
Mailing address
3126 Wisconsin Ave
Joplin, MO 64804-2873
Phone (417) 626-7337
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200353680A | Medicaid | KS | |
| 200692 | Other | MO | ANTHEM |
| 200067460A | Medicaid | OK | |
| 207458001 | Medicaid | MO | |
| P00259947 | Other | RR MEDICARE |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teeter Pediatric Care PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Joplin, MO
- NPI 1851699029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1043249626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 WISCONSIN AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042873",
"telephone_number": "417-626-7337",
"fax_number": "417-731-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 WISCONSIN AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042873",
"telephone_number": "417-626-7337",
"fax_number": "417-731-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEETER",
"first_name": "RAYNI",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2005013271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200353680A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "200692",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200067460A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207458001",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00259947",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.