Individual provider Active NPI

Lila Rose Wadsack, CPM

  • Midwife
  • Kansas City, MO
National Provider Identifier
1013847102
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
26050987 Issued in MO
Practice address
1803 E 128TH St
Kansas City, MO 64145-7811
Phone
(816) 944-0777
Fax
(816) 875-4035
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 26050987 MO Primary

Addresses

Primary practice location

1803 E 128TH St
Kansas City, MO 64145-7811

Mailing address

6225 Tracy Ave
Kansas City, MO 64110-3440
Phone (816) 944-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26050987MOMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1013847102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103440",
            "telephone_number": "816-944-0777",
            "fax_number": "816-875-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 E 128TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641457811",
            "telephone_number": "816-944-0777",
            "fax_number": "816-875-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSACK",
        "first_name": "LILA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "MO",
            "license": "26050987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 20, 2026; 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.