Active NPI
Teleteen
- Pediatrics Physician
- Durham, NC
National Provider Identifier
1801646179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TELETEEN
- Practice address
- 6409 Fayetteville Rd Ste 120-323
Durham, NC 27713-6297 - Phone
- (919) 296-4400
- NPI assigned
- Mar 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janelle Shumate, MD
- Title
- Cmo
- Phone
- (919) 296-4400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
6409 Fayetteville Rd Ste 120-323
Durham, NC 27713-6297
Mailing address
6409 Fayetteville Rd Ste 120-323
Durham, NC 27713-6297
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Oxford, NC
- NPI 1124245865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1801646179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6409 FAYETTEVILLE RD STE 120-323",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6409 FAYETTEVILLE RD STE 120-323",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136297",
"telephone_number": "919-296-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELETEEN",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "SHUMATE",
"authorized_official_first_name": "JANELLE",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "919-296-4400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.