Active NPI
Jeffrey Paul Yannette, M.D.
- Pediatric Adolescent Medicine Physician
- Lees Summit, MO
National Provider Identifier
1245239797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2001001596
- Practice address
- 821 SW Lemans Lane
Lees Summit, MO 64082 - Phone
- (816) 524-3223
- Fax
- (816) 525-2697
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- 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 | 2001001596 | MO | Primary |
Addresses
Primary practice location
821 SW Lemans Lane
Lees Summit, MO 64082
Mailing address
1425 NW Blue Pkwy
Lees Summit, MO 64086-5705
Phone (816) 524-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29836011 | Other | KS | BCBSKC PROVIDER NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001001596 | MO | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes East Hospital | Past | Accepting new patients | |
| Children'S Mercy-Community Choice Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25804/brand/1/csg/1/fhir/r4
- jeffrey.yannette.1@25804.direct.athenahealth.com
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
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.
-
- Pediatrics Physician
- Lees Summit, MO
- NPI 1114540085
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245239797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 NW BLUE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865705",
"telephone_number": "816-524-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SW LEMANS LANE",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "64082",
"telephone_number": "816-524-3223",
"fax_number": "816-525-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANNETTE",
"first_name": "JEFFREY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MO",
"license": "2001001596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSKC PROVIDER NUMBER",
"identifier": "29836011",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.