Elevating Care Clinic, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2017000664 Issued in MO

Legal business name

ELEVATING CARE CLINIC, LLC

Practice address

2340 E. Meyer Blvd
208
Kansas City, MO 64132-1105

Phone

(816) 665-6124

NPI assigned

Aug 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doris Marie Mosby-Peterson, FNP-C

Title

Ceo/Owner

Phone

(816) 665-6124

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1013433762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18447",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641338447",
            "telephone_number": "816-674-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E. MEYER BLVD",
            "address_2": "208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-665-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATING CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "MOSBY-PETERSON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "816-665-6124",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MO",
            "license": "2017000664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Multi-Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.