Kennesha Bagsby, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020039457 Issued in MO

Practice address

330 NE Barry Rd
Kansas City, MO 64155-2724

Phone

(816) 436-2032

NPI assigned

Dec 6, 2020

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  NPD
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619606159
  NPD (past)

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1124624143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NE BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552724",
            "telephone_number": "816-436-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NE BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552724",
            "telephone_number": "816-436-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7117 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "MO",
            "postal_code": "641191123",
            "country_code": "US",
            "telephone_number": "816-691-5050",
            "fax_number": "816-346-7115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 SW Lemans Ln",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824618",
            "country_code": "US",
            "telephone_number": "816-876-0317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 NW 64th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641512414",
            "country_code": "US",
            "telephone_number": "816-691-3065",
            "fax_number": "816-480-4513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Blue Jay Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640681906",
            "country_code": "US",
            "telephone_number": "816-691-1424",
            "fax_number": "816-480-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGSBY",
        "first_name": "KENNESHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-06",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-159764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020039457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Baggett, PH.D.
• Ronald Gregory Baggett, L.M.T.
• Abdulrahman Baghdadi
• Amy Suzanne Bagley, DDS
• Carlos A Bagley, MD
• Annaliza Bagunu
• Harith Baharith, M.D.
• Carol G. Bahmueller, MSW
• Alexandria Mayhall Bahr, M.D.
• Carl Albert Bahr, DMD

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.