Individual provider Active NPI

Zakiya S Clemoens, NP

  • Acute Care Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1104459833
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5379289071 Issued in KS
Practice address
629 W 101St Ter
Kansas City, MO 64114-4236
Phone
(816) 914-4065
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2020007316 MO
Acute Care Nurse Practitioner 363LA2100X 5379289071 KS Primary

Addresses

Primary practice location

629 W 101St Ter
Kansas City, MO 64114-4236

Mailing address

629 W 101St Ter
Kansas City, MO 64114-4236
Phone (816) 914-4065

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL zsclemoens@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200407003560 KS Practitioner - Nurse Practitioner 1658700919 Reassigns benefits to 2 organizations
I20200407003702 MO Practitioner - Nurse Practitioner 1658700919 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5379289071KSMDAcute Care Nurse Practitioner
2020007316MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Kansas PA CurrentSince Jan 15, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Mar 16, 2021 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 7, 2024 Accepting new patients
Theoria Medical CurrentSince Oct 12, 2024 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Jan 15, 2023 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

Organizations & group practices 5

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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1104459833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W 101ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144236",
            "telephone_number": "816-914-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 101ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144236",
            "telephone_number": "816-914-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMOENS",
        "first_name": "ZAKIYA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2026-08-16",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2020007316",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "5379289071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "zsclemoens@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "629 W 101st Ter",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641144236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.