MATTHEW PETTIT


Address: 3000 Nw 62nd Ter, Kansas City, MO 64151-7813
Phone: 8163639326

MATTHEW PETTIT (NPI# 1295209575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295209575
Entity Type Individual
Full Name MATTHEW PETTIT
Credential FNP-BC
Practice Address 3000 Nw 62nd Ter
Kansas City
MO 64151-7813
Practice Telephone 8163639326
Mailing Telephone 8163639326
Enumeration Date 2019-01-19
Last Update Date 2019-01-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2002013493 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers MATTHEW PETTIT

NPI Name Taxonomy Address Enumeration
1609115534 Matthew J Pettit Nurse Practitioner 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904 2013-02-13
1871745117 Matthew Jarvis Pettit Marriage & Family Therapist 518 28 Rd, A207, Grand Junction, CO 81501-6556 2008-10-17

Office Location

Street Address 3000 NW 62ND TER
City KANSAS CITY
State MO
Zip Code 64151-7813

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NPI Name Taxonomy Address Enumeration
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1699205211 Alma C Batchelor Behavior Technician 5863 Nw 72nd Street, Kansas City, MO 64151 2017-06-15
1588015291 Freedom Care, LLC Home Health Aide 5727 N. Ames Ave, Kansas, MO 64151 2016-06-23
1164701827 Richard Alan Pelaar Counselor 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 2011-08-12
1013238708 Kodi Lee Watson Dietitian, Registered 8301 N St. Clair Ave, Kansas City, MO 64151 2010-06-16
1821296294 Andy Mackey Durable Medical Equipment & Medical Supplies 5100 Nw Waukomis, Northmoor, MO 64151 2007-07-06
1629138185 George Thomas Mcneish II Dentist 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 2006-12-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051680 Debra Kim Lietzke Nurse Practitioner 4900 N 126th St, Kansas City, KS 66109-5121 2020-10-19
1487252193 Julie O'gara Nurse Practitioner 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 2020-10-14
1144836313 Corinne Lee Nilsen Nurse Practitioner 3939 Holmes St, Kansas City, MO 64110-1123 2020-09-22
1821604430 Nathan D Burditt Nurse Practitioner 5917 Mcgee St, Kansas City, MO 64113-2205 2020-09-18
1760094577 Diana Michelle Hiestand Nurse Practitioner 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 2020-08-21
1093324816 Claire Sorensen Nurse Practitioner 427 E 63rd Ter, Kansas City, MO 64110-3333 2020-07-28
1003434705 Kristin A Meyer Nurse Practitioner 700 W 31st St Ste 706, Kansas City, MO 64108-3628 2020-07-08
1023634599 Sibree L Vickers Nurse Practitioner 3627 Ne 85th St, Kansas City, MO 64156-1309 2020-06-22
1457975625 Jazmine Ayana Spencer Nurse Practitioner 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 2020-06-03
1841813706 Kristine Elizabeth Silcott Nurse Practitioner 5239 N Flora Ave, Kansas City, MO 64118-5720 2020-05-26
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Competitor

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City KANSAS CITY
Zip Code 64151

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Dataset Information

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.

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