Individual provider Active NPI

Kathryn Lee Pickett, ARNP

  • Family Nurse Practitioner
  • Raymore, MO
National Provider Identifier
1114387453
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010038952 Issued in MO
Practice address
1215 W Foxwood Dr
Raymore, MO 64083-8301
Phone
(866) 389-2727
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2010038952 MO Primary

Addresses

Primary practice location

1215 W Foxwood Dr
Raymore, MO 64083-8301

Mailing address

1215 W Foxwood Dr
Raymore, MO 64083-8301
Phone (816) 318-8022

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322000651 MO Practitioner - Nurse Practitioner 3476850249 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pandc Healthcare LLCGroup PAC ID 3779861109, 38 clinicians
Urgent Specialty Associates of Missouri LLCGroup PAC ID 2860874831, 39 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010038952MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Specialty Associates of Missouri LLC CurrentSince Aug 15, 2025 Accepting new patients
P&C Healthcare LLC CurrentSince Jan 1, 2024 Accepting new patients
Emergency Medicine Services of Mo, LLC CurrentSince Apr 1, 2023 Accepting new patients
Hospital Medicine Services of Mo, LLC CurrentSince Apr 1, 2023 Accepting new patients
Northstar Anesthesia of Missouri, LLC CurrentSince Jul 1, 2025 Accepting new patients
Dunn Physician Services, LLC CurrentSince Oct 1, 2024 Accepting new patients
P & C Consultant Services Past Accepting new patients

Locations

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1114387453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838301",
            "telephone_number": "816-318-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838301",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010038952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.