Individual provider Active NPI

Kevin Wanjiku Wachira, FNP

  • Adult Medicine Physician
  • Kansas City, MO
National Provider Identifier
1023988342
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
2025048639 Issued in MO
Practice address
5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone
(816) 880-6560
NPI assigned
Nov 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 2025048639 MO Primary

Addresses

Primary practice location

5830 NW Barry Rd
Kansas City, MO 64154-2778

Mailing address

7612 NW Milrey Dr
Kansas City, MO 64152-2262
Phone (417) 317-6062

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
2025048639MOMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1023988342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 NW MILREY DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641522262",
            "telephone_number": "417-317-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542778",
            "telephone_number": "816-880-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHIRA",
        "first_name": "KEVIN",
        "middle_name": "WANJIKU",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "2025048639",
            "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 Nov 11, 2025; 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.