Nedra Diann Twillie, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

103901 Issued in MO

Practice address

415 Burkarth Rd Ste D
Warrensburg, MO 64093-3101

Phone

(660) 747-3141

Fax

(660) 747-7292

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/be23e9e1-90d2-4a37-b049-059a92ffad6d/

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.

• D/B/a Western Missouri Pediatrics

  • Pediatrics Physician
  • Warrensburg, MO
  • NPI 1003070830
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1811076763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BURKARTH RD STE D",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-3141",
            "fax_number": "660-747-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BURKARTH RD STE D",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-3141",
            "fax_number": "660-747-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWILLIE",
        "first_name": "NEDRA",
        "middle_name": "DIANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MO",
            "license": "103901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205448905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Turner, PHARMACIST
• Joni Loreen Turner, M.S. CCC-SLP
• Patricia J Turner
• Robert N. Turner, M.D.
• Madison O Turntine, AUD
• University of Central Missouri Student Health Center
• Myshenyenne Vang
• Joshalynn M Vassar, BSW, MS, PLPC, LPC
• Makenna Renee Veale
• Jennifer Lynn Vega, LPN

• Pediatric Adolescent Medicine Physician in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Pediatric Adolescent Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.