Active NPI
Kelly Jo Meier, DO
- Pediatric Adolescent Medicine Physician
- Joplin, MO
National Provider Identifier
1073733069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2008012508
- Practice address
- 2719 E 32ND St
Joplin, MO 64804-3131 - Phone
- (417) 782-5522
- Fax
- (417) 782-5866
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 2008012508 | MO | Primary |
Addresses
Primary practice location
2719 E 32ND St
Joplin, MO 64804-3131
Mailing address
2719 E 32ND St
Joplin, MO 64804-3131
Phone (417) 782-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073733069 | Medicaid | MO |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008012508 | MO | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Past | Accepting new patients | |
| Mercy Hospital Joplin | Past | Accepting new patients |
Interoperability endpoints
- kelly.meier.1@22042.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1073733069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 E 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043131",
"telephone_number": "417-782-5522",
"fax_number": "417-782-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 E 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043131",
"telephone_number": "417-782-5522",
"fax_number": "417-782-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIER",
"first_name": "KELLY",
"middle_name": "JO",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MO",
"license": "2008012508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073733069",
"state": "MO"
}
],
"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 Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.