Individual provider Active NPI

Amy Lou Clarkson, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1174665392
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
2007006874 Issued in MO
Practice address
9221 Ward Pkwy Ste 100
Kansas City, MO 64114-3332
Phone
(816) 363-2600
NPI assigned
Feb 13, 2007
Last updated
Jan 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 2007006874 MO Primary

Addresses

Primary practice location

9221 Ward Pkwy Ste 100
Kansas City, MO 64114-3332

Mailing address

9221 Ward Pkwy Ste 100
Kansas City, MO 64114-3332
Phone (816) 363-2600

Other identifiers 2

IdentifierTypeStateIssuer
B35F557OtherMOMEDICARE
B35F522BOtherKSMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007006874MOMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Hospice, Inc Past Accepting new patients
Kansas City Hospice, Inc Hospice and Palliative Medicine Past Accepting new patients
South Wind Hospice, Inc. PastSince Nov 13, 2010 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1174665392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 WARD PKWY STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143332",
            "telephone_number": "816-363-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 WARD PKWY STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143332",
            "telephone_number": "816-363-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "AMY",
        "middle_name": "LOU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "2007006874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "B35F557",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "B35F522B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.