Active NPI
Amber M Teigen, PA
- Physician Assistant
- Saint Louis, MO
National Provider Identifier
1154365484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2005034036
- Practice address
- 510 S Kingshighway Blvd
Saint Louis, MO 63110-1016 - Phone
- (314) 362-7200
- Fax
- (314) 747-4189
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2005034036 | MO | Primary |
Addresses
Primary practice location
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Mailing address
510 S Kingshighway Blvd
C B 8131
Saint Louis, MO 63110-1016
Phone (314) 362-7200
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1154365484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S KINGSHIGHWAY BLVD",
"address_2": "C B 8131",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101016",
"telephone_number": "314-362-7200",
"fax_number": "314-747-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S KINGSHIGHWAY BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101016",
"telephone_number": "314-362-7200",
"fax_number": "314-747-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEIGEN",
"first_name": "AMBER",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2005034036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.