DR. ELIZABETH C EWERS TEEL (NPI# 1134256910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134256910 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH C EWERS TEEL |
| Credential | PH.D. |
| Practice Address |
3400 W Truman Blvd Jefferson City MO 65109-5712 |
| Practice Telephone | 5736356875 |
| Mailing Telephone | 5736356875 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1658 | MO | Behavioral Health & Social Service Providers |
| Street Address |
3400 W TRUMAN BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537704 | Katherine Friedebach | Family Medicine | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2006-06-14 |
| 1477072395 | Jennifer Rae Shearin Thomas | Social Worker | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2017-09-12 |
| 1679099618 | Aimee Nienstedt | Social Worker | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2017-08-22 |
| 1316395312 | Mary June Elliott | Dentist | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2016-05-31 |
| 1710387519 | Maura Breting | Registered Nurse | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2014-08-28 |
| 1427474121 | Troy Hutinger | Dentist | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2014-03-05 |
| 1457646754 | Sarah Jeanne Eber | Dietitian, Registered | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2011-06-14 |
| 1477864502 | Crystal Sullivan | Family Medicine | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2010-06-23 |
| 1649597667 | Megan King | Family Medicine | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2010-04-30 |
| 1346484011 | Sylvia Grace Thomas | Registered Nurse | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2009-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260574 | Ayanda Chakawa | Psychologist | 3101 Broadway Blvd Fl 10, Kansas City, MO 64111-2673 | 2019-08-12 |
| 1154626893 | Family First Center for Autism and Child Development, Inc. | Psychologist | 5863 Nw 72nd St, Suite 180, Kansas City, MO 64151-1483 | 2011-01-11 |
| 1730411570 | Rosemary Parece | Psychologist | 4010 Washington St Ste 401, Kansas City, MO 64111-2614 | 2010-02-04 |
| 1811222409 | Catherine Hood Judkins, Ph.d., L.L.C. | Psychologist | 14500 S Outer 40 Rd, Suite 202, Chesterfield, MO 63017-5780 | 2009-10-15 |
| 1982849329 | Jessica Rose Wood | Psychologist | 1126 E Highway Ww, Marshall, MO 65340-4641 | 2008-12-15 |
| 1396907226 | Michael J Thomas Jr. | Psychologist | 8901 Mayfield Ct, Saint Louis, MO 63136-5016 | 2008-07-01 |
| 1205989688 | Mary Ellen Degnan | Psychologist | 108 E Green Meadows Rd Ste 5, Columbia, MO 65203-3633 | 2007-01-19 |
| 1679638654 | April Dawn Koontz | Psychologist | 14500 S. Outer 40 Rd, Ste #202, Chesterfield, MO 63017 | 2006-12-27 |
| 1720178239 | Charles Michael Borduin | Psychologist | 211 S. 8th Street, Psychological Services Clinic University of Missouri, Columbia, MO 65211 | 2006-10-13 |
| 1881799302 | Kathryn Jo Mcconahay | Psychologist | 4400 Broadway St Ste 220, Kansas City, MO 64111-3342 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on DR. ELIZABETH C EWERS TEEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.