JANE ELIZABETH TEETER (NPI# 1841608833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841608833 |
| Entity Type | Individual |
| Full Name | JANE ELIZABETH TEETER |
| Credential | PA-C |
| Practice Address |
4920 South 30th Street Suite 103 Omaha NE 68107-1656 |
| Practice Telephone | 4027344110 |
| Practice Fax Number | 4029915642 |
| Mailing Telephone | 4027344110 |
| Mailing Fax Number | 4029915642 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0004015 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 70403031 | 05 |
| Street Address |
4920 SOUTH 30TH STREET SUITE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321573 | Stella G Washington | Physician Assistant | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2006-08-31 |
| 1912451063 | Nancy Herrera | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-08-06 |
| 1689127409 | Adina Schuller Slomianski | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-07-28 |
| 1861877037 | Jennifer A Dornbush | Nurse Practitioner | 4920 South 30th Street, Suite 103, Omaha, NE 68107 | 2015-07-29 |
| 1861875726 | Robert Grode | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2015-07-09 |
| 1801237623 | Kari Michelle Olbrey | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-07-09 |
| 1861730343 | Nivedita Sharma | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-01-17 |
| 1568761278 | Cori Anna Baquero-cruz | Dental Hygienist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-03-21 |
| 1891094975 | Marie D. Desmoineaux | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-03-15 |
| 1043515901 | Gloria E. Gonzalez-kruger | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| 1700936978 | Christina M Jensen | Physician Assistant | 7710 Mercy Rd Ste 502, Omaha, NE 68124-2346 | 2007-01-11 |
| 1104984772 | Diana R Lundquist | Physician Assistant | 7815 Farnam Dr, Children's Home Healthcare's World, Omaha, NE 68114-4564 | 2006-12-05 |
| 1528153863 | Mary Patricia Byam-smith | Physician Assistant | 1620 S 198th Ave, Omaha, NE 68130 | 2006-10-03 |
| 1386651172 | Connie L Anderson | Physician Assistant | 105 N 31st Ave, Ste 102, Omaha, NE 68131-2940 | 2006-08-02 |
| 1194731869 | Margaret Alice Antley | Physician Assistant | 710 S 17th St, Omaha, NE 68102-3108 | 2006-08-01 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on JANE ELIZABETH TEETER.
| 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.