Jane Anni, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36576 Issued in MO

Practice address

806 N Douglass St
Malden, MO 63863-1512

Phone

(573) 276-3873

Fax

(573) 276-2625

NPI assigned

Jan 29, 2015

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jane.anni.1@8825.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff CRNA

  • Certified Registered Nurse Anesthetist
  • Poplar Bluff, MO
  • NPI 1730330168
  Medicare reassignment NPD
• Poplar Bluff Regional Medical Center, LLC

  dba Puxico Medical Clinic

  • Family Medicine Physician
  • Puxico, MO
  • NPI 1750797775
  Medicare reassignment NPD
• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  NPD
• Poplar Bluff Regional Medical Center, LLC

  dba Dexter Medical Clinic

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1669888681
  NPD
• Poplar Bluff Regional Medical Center LLC

  dba Malden Medical Center

  • Rural Health Clinic/Center
  • Malden, MO
  • NPI 1801839147
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1457741332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "888-422-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N DOUGLASS ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638631512",
            "telephone_number": "573-276-3873",
            "fax_number": "573-276-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNI",
        "first_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "36576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jane.anni.1@8825.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "address_1": "806 N Douglass St",
            "city": "Malden",
            "state": "MO",
            "country_code": "US",
            "postal_code": "638631512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Advanced Sports and Rehab, LLC (Semo Sports and Rehabilitation Center)
• Aspire Senior Living Malden, LLC (Aspire Senior Living Malden)
• Anna Caitlin Batts, PHARMD
• Robyn Racquel Beckman
• Ray D Bess, OPTOMETRIST
• Miriam Brehmer, FNP

• Pediatrics Physician in Malden, MO
• Providers in Malden, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.