Active NPI
Angela Moran, CST/CFA
- Surgical Assistant
- Kansas City, MO
National Provider Identifier
1063601151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 5624 N Ames Ave
Kansas City, MO 64151-2179 - Phone
- (816) 584-8246
- Fax
- (888) 329-6432
- NPI assigned
- Oct 15, 2007
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | MO | Primary |
Addresses
Primary practice location
5624 N Ames Ave
Kansas City, MO 64151-2179
Mailing address
5624 N Ames Ave
Kansas City, MO 64151-2179
Phone (816) 584-8246
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1063601151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5624 N AMES AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512179",
"telephone_number": "816-584-8246",
"fax_number": "888-329-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5624 N AMES AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512179",
"telephone_number": "816-584-8246",
"fax_number": "888-329-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "ANGELA",
"credential": "CST/CFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "MO",
"license": null,
"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 Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.