Individual provider Active NPI

Kourtney Halford

  • Family Nurse Practitioner
  • Richmond, MO
National Provider Identifier
1114407525
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08180219 Issued in MO
Practice address
420 Wollard Blvd
Richmond, MO 64085-1974
Phone
(816) 470-2131
NPI assigned
Aug 15, 2018
Last updated
Feb 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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 F08180219 MO Primary

Addresses

Primary practice location

420 Wollard Blvd
Richmond, MO 64085-1974

Mailing address

5033 NW Nantucket Dr
Blue Springs, MO 64015-3887
Phone (816) 682-4298

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
I20190117000753 MO Practitioner - Nurse Practitioner 2860738549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3071 S Grand Ave
Carthage, MO 64836-7851
Phone (417) 310-9286

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08180219MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
McPherson Medical & Diagnostic LLC CurrentSince Dec 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC Family Medicine Past Accepting new patients
Richmond Family Clinic, P.C. PastSince Feb 18, 2008 Accepting new patients
Cah Acquisition Company 6 LLC Past Accepting new patients

Locations

3071 S Grand Ave
Carthage, MO 64836
Phone (417) 310-9286

223 S 3rd St
Hayti, MO 63851
Phone (573) 359-2019

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

Organizations & group practices 6

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 4

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1114407525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 NW NANTUCKET DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153887",
            "telephone_number": "816-682-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640851974",
            "telephone_number": "816-470-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFORD",
        "first_name": "KOURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F08180219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MO

Sources for this page

Verify at the official NPI Registry.