PEDIATRIC CARE NORTH (NPI# 1780090860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780090860 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE NORTH |
| Practice Address |
8781 N Platte Purchase Dr Kansas City MO 64155-1829 |
| Practice Telephone | 8165873200 |
| Practice Fax Number | 8165877644 |
| Mailing Telephone | 8165873200 |
| Mailing Fax Number | 8165877644 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | SUSAN L STORM (PRESIDENT) |
| Authorized Official Telephone | 8165873200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2012029116 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558391698 | Pediatric Care North | Specialist | 5810 Nw Barry Rd, Suite 200, Kansas City, MO 64154-1493 | 2006-07-04 |
| Street Address |
8781 N PLATTE PURCHASE DR |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64155-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
| 1164969952 | Children's Mercy-pediatric Care North, Inc | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2017-01-31 |
| 1003201294 | Amanda Finn | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2015-04-03 |
| 1710394317 | Monica M Rondeau | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
| 1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
| 1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
| 1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
| 1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
| 1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
| 1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
| 1184774754 | Stephanie A Marx | Pediatrics | 8781 N Platte Purchase Drive, Kansas City, MO 64155 | 2007-01-12 |
| Find all providers in zip 64155 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1962623058 | Julie Lynne Thorne | Nurse Practitioner | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2007-05-02 |
| 1922159656 | Harriett Currie Navarre | Nurse Practitioner | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-01-16 |
| 1336177831 | Veda Michele Donner | Nurse Practitioner | 8781 N. Platte Purchase Dr., Kansas City, MO 64155 | 2006-06-30 |
| 1235170424 | Kathleen Elizabeth Jansen-kraly | Nurse Practitioner | 16 E 63rd St, Kansas City, MO 64113-1612 | 2006-06-09 |
| 1629015029 | Eileen Calabria | Nurse Practitioner | 3101 Broadway Blvd Fl 2, Kansas City, MO 64111-2659 | 2006-06-02 |
| 1811934854 | Lechelle Delea Williams | Nurse Practitioner | 2410 Gillham Rd, Kansas City, MO 64108-2667 | 2006-05-31 |
| 1881648178 | Pamela Irene Western | Nurse Practitioner | 4605 Paseo Blvd, Kansas City, MO 64110-1861 | 2006-05-20 |
| 1962478552 | Karen Bauman Nelson | Nurse Practitioner | Ku Oto Hns Ms 3010, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2006-02-24 |
| 1881202745 | Taryn Wisor | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64155 |
Please comment or provide details below to improve the information on PEDIATRIC CARE NORTH.
| 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.