JANE ELIZABETH TEETER PA-C NPI 1841608833

NPI Information

NPI: 1841608833
Provider Name: JANE ELIZABETH TEETER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4920 SOUTH 30TH STREET
SUITE 103
OMAHA, NE
ZIP 68107
Phone: (402) 734-4110
Get Directions

Jane Elizabeth Teeter, PA-C is a medical physician assistant in Omaha, NE. Jane Elizabeth Teeter, PA-C NPI is 1841608833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4920 SOUTH 30TH STREET
SUITE 103
OMAHA, NE
ZIP 68107-656
Phone: (402) 734-4110
Fax: (402) 991-5642

The NPI 1841608833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2014 and was last updated on 11/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0004015	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	380932YLQP	MEDICARE UPIN	COLORADO
2	70403031	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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