Active NPI
Cameron Elaine Teeter
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Ellicott City, MD
National Provider Identifier
1447904057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- O-029-126
- Practice address
- 3450 Ellicott Center Dr Ste 205
Ellicott City, MD 21043-4667 - Phone
- (210) 410-3140
- NPI assigned
- Feb 11, 2022
- Last updated
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | O-029-126 | GA | Primary |
Addresses
Primary practice location
3450 Ellicott Center Dr Ste 205
Ellicott City, MD 21043-4667
Mailing address
181 Pinecrest Ter
Athens, GA 30606-2447
Phone (704) 340-8523
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-029-126 | GA | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1447904057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PINECREST TER",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062447",
"telephone_number": "704-340-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 ELLICOTT CENTER DR STE 205",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434667",
"telephone_number": "210-410-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEETER",
"first_name": "CAMERON",
"middle_name": "ELAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "GA",
"license": "O-029-126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.