Active NPI
Anne Elizabeth Teachout, CRNA
- Certified Registered Nurse Anesthetist
- Aberdeen, SD
National Provider Identifier
1073636213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2007006425
- Practice address
- 305 S State St
Aberdeen, SD 57401-4527 - Phone
- (605) 622-5000
- Fax
- (605) 622-5542
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2007006425 | MO | Primary |
Addresses
Primary practice location
305 S State St
Aberdeen, SD 57401-4527
Mailing address
PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-2876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910099902 | Medicaid | MO | |
| 200426780A | Medicaid | KS |
Other names 1
- Anne Elizabeth Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007006425 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St. Lukes | Current | Accepting new patients | |
| Avera St. Luke'S | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Past | Accepting new patients |
Locations
305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Aberdeen, SD
- NPI 1215100813
-
- Nephrology Physician
- Aberdeen, SD
- NPI 1477594430
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1457309270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1073636213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1460",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574021460",
"telephone_number": "605-622-2876",
"fax_number": "605-622-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S STATE ST",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014527",
"telephone_number": "605-622-5000",
"fax_number": "605-622-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEACHOUT",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2007006425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910099902",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200426780A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "SMITH",
"middle_name": "ELIZABETH",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.