Angela Meredith Habermehl, CPNP-PC, IBCLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2023025372 Issued in MO

Practice address

9784 N Ash Ave
Kansas City, MO 64157-9742

Phone

(816) 207-0070

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Children'S Mercy - Redwood Pediatrics

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1306363858
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1043996788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 BRIARWOOD LN",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241625",
            "telephone_number": "816-377-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 N ASH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579742",
            "telephone_number": "816-207-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMEHL",
        "first_name": "ANGELA",
        "middle_name": "MEREDITH",
        "credential": "CPNP-PC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2023025372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Rae Haas, MS, RD, LD
• Faith Louise Habeck
• Mansurah O. Habeebu, RN
• Sahibu Sultan Murtaza Habeebu, MD PHD
• Nadirah Habeebullah, LMFT
• Faiza A Habib
• Mona Habib, PMHNP-BC
• Clayton Habiger, M.D.
• Ashley Hacker, DO
• Natalie Hacker, LMSW

• Pediatric Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.