Organization Active NPI

Gladstone Family Care, LLC

  • Family Medicine Physician
  • Gladstone, MO
National Provider Identifier
1154877157
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GLADSTONE FAMILY CARE, LLC
Practice address
6717 N Oak Trfy
Gladstone, MO 64118-3346
Phone
(816) 678-7223
NPI assigned
Aug 30, 2016
Last updated
Oct 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Miss Tiffany A Covey
Title
Billing Manager
Phone
(816) 678-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6717 N Oak Trfy
Gladstone, MO 64118-3346

Mailing address

6717 N Oak Trfy
Gladstone, MO 64118-3346
Phone (816) 678-7223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1154877157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183346",
            "telephone_number": "816-678-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183346",
            "telephone_number": "816-678-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "COVEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "816-678-7223",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.