Terri Ayalaabbott
Individual provider Active NPI Homemaker · Holts Summit, MO
NPI 1386442762 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1386442762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- LC014609086 (MO)
- Practice address
- 2646 La Char Dr
Holts Summit, MO 65043-1144 - Phone
- (573) 491-1125
- Fax
- (573) 491-1130
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC014609086 | MO | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | LC014609086 | MO | Yes |
Addresses
Primary practice location
2646 La Char Dr
Holts Summit, MO 65043-1144
Mailing address
2646 La Char Dr
Holts Summit, MO 65043-1144
Phone (573) 491-1125
Other providers in Holts Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.