Active NPI
Jami Kathryn Cronin, APRN
- Pediatric Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5380458012
- Practice address
- 2401 Gillham Road
Ho Office Building
Kansas City, MO 64108 - Phone
- (816) 302-1656
- Fax
- (816) 302-9894
- NPI assigned
- May 26, 2022
- Last updated
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2021038363 | MO | |
| Pediatric Nurse Practitioner | 363LP0200X | 5380458012 | KS | Primary |
| Registered Nurse | 163W00000X | 14104793012 | KS | |
| Pediatric Registered Nurse | 163WP0200X | 202028563 | KS |
Addresses
Primary practice location
2401 Gillham Road
Ho Office Building
Kansas City, MO 64108
Mailing address
2401 Gillham Rd Ofc Building
Kansas City, MO 64108-4619
Phone (816) 302-1656
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkwierson@cmh.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14104793012 | KS | MD | Registered Nurse |
| 202028563 | KS | MD | Pediatric Registered Nurse |
| 5380458012 | KS | MD | Pediatric Nurse Practitioner |
| 2021038363 | MO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children's Mercy Hospital | Current | Accepting new patients | |
| The Children's Mercy Hospital | Pediatrics | Current | Accepting new patients |
| The Children's Mercy Hospital | Past | Accepting new patients |
Locations
5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
2401 Gillham Rd
Bldg 1ST
Kansas City, MO 64108
2401 Gillham Rd
Ofc
Kansas City, MO 64108
Phone (816) 302-1656
3101 Broadway Blvd
Kansas City, MO 64111
Phone (816) 302-3700
Organizations & group practices 3
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.
-
dba Children's Mercy Riverside Pharmacy - Mail
- Mail Order Pharmacy
- Riverside, MO
- NPI 1235923194
-
- Children's Hospital
- Overland Park, KS
- NPI 1154400232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1013655224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD OFC BUILDING",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-302-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM ROAD",
"address_2": "HO OFFICE BUILDING",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-302-1656",
"fax_number": "816-302-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "JAMI",
"middle_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2021038363",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KS",
"license": "5380458012",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14104793012",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "KS",
"license": "202028563",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkwierson@cmh.edu",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2401 Gillham Road",
"address_2": "CMH Annex Building 1st floor",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "64108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.