Individual provider Active NPI

Marie Ann B Taboada, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1013581917
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020010568 Issued in MO
Practice address
5844 NW Barry Rd Ste 230
Kansas City, MO 64154-1421
Phone
(816) 931-1883
NPI assigned
May 14, 2021
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5382433 KS
Family Nurse Practitioner 363LF0000X 2020010568 MO Primary

Addresses

Primary practice location

5844 NW Barry Rd Ste 230
Kansas City, MO 64154-1421

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 931-1883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince May 15, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 27, 2022 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Sep 6, 2022 Accepting new patients
Meritas Health Corporation Family CurrentSince Dec 11, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Dec 11, 2023 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Jun 27, 2022 Accepting new patients

Locations

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1013581917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-931-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541421",
            "telephone_number": "816-931-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOADA",
        "first_name": "MARIE ANN",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5382433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020010568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.