Active NPI
Sonji Black
- Registered Nurse
- Raytown, MO
National Provider Identifier
1053221986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2018025055
- Practice address
- 11503 E 63Rd St
Raytown, MO 64133-5431 - Phone
- (816) 803-0512
- NPI assigned
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2018025055 | MO | Primary |
Addresses
Primary practice location
11503 E 63Rd St
Raytown, MO 64133-5431
Mailing address
PO Box 18233
Raytown, MO 64133-8233
Phone (816) 803-0512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1053221986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18233",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641338233",
"telephone_number": "816-803-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11503 E 63RD ST",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641335431",
"telephone_number": "816-803-0512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "SONJI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2018025055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.