Individual provider Active NPI

Hannah Peterson

  • Social Worker
  • Kansas City, MO
National Provider Identifier
1053886770
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2019045970 Issued in MO
Practice address
211 NE 54TH St Ste 201
Kansas City, MO 64118-4330
Phone
(816) 453-6777
Fax
(816) 454-3601
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2019045970 MO Primary

Addresses

Primary practice location

211 NE 54TH St Ste 201
Kansas City, MO 64118-4330

Mailing address

211 NE 54TH St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102001056 MO Practitioner - Clinical Social Worker 0143573766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Holly L RamaekerGroup PAC ID 3274907530, 6 clinicians

Practice addresses (Care Compare)

1420 NW Vivion Rd
Suite 108
Kansas City, MO 64118-4511
Phone (816) 366-5515

800 Westport Rd
Kansas City, MO 64111-3145
Phone (816) 366-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holly L. Ramaeker CurrentSince Jan 1, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Feb 17, 2020 Accepting new patients
Meritas Health CurrentSince Feb 17, 2020 Accepting new patients
Meritas Health Corporation Current Accepting new patients

Locations

211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777

211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777

1420 NW Vivion Rd
Ste 108
Kansas City, MO 64118
Phone (816) 329-9107

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1053886770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184330",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184330",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2019045970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.