Individual provider Active NPI

Emily Alvina Radley

  • Registered Nurse
  • Independence, MO
National Provider Identifier
1063378891
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2007001112 Issued in MO
Practice address
19000 E Eastland Center CT Ste 200
Independence, MO 64055-7023
Phone
(816) 796-7307
Fax
(816) 796-7305
NPI assigned
Dec 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2007001112 MO Primary

Addresses

Primary practice location

19000 E Eastland Center CT Ste 200
Independence, MO 64055-7023

Mailing address

19000 E Eastland Center CT Ste 200
Independence, MO 64055-7023
Phone (816) 796-7307

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
2007001112MOMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1063378891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 E EASTLAND CENTER CT STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557023",
            "telephone_number": "816-796-7307",
            "fax_number": "816-796-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 E EASTLAND CENTER CT STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557023",
            "telephone_number": "816-796-7307",
            "fax_number": "816-796-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLEY",
        "first_name": "EMILY",
        "middle_name": "ALVINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007001112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.