Active NPI
Janice Gladman, RN, MSN,CS, FNP
- Nurse Practitioner
- Platte City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 66677
- Practice address
- 2600 Running Horse Road
Platte City, MO 64079-9761 - Phone
- (816) 858-2200
- Fax
- (816) 858-3611
- NPI assigned
- Jan 30, 2006
- Last updated
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 66677 | MO | Primary |
Addresses
Primary practice location
2600 Running Horse Road
Platte City, MO 64079-9761
Mailing address
2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3251
Phone (816) 691-5287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425064219 | Medicaid | MO | |
| 29893011 | Other | BCBS OF KC INDIVIDUAL # |
Other names 1
- Mrs. Janice Neal
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66677 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritashealth Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
2000 NE Vivion Rd
Ste 100
Kansas City, MO 64118
Phone (816) 453-1314
5330 NW 64th St
Kansas City, MO 64151
Phone (816) 505-1311
5400 N Oak Trfy
Ste 200
Kansas City, MO 64118
Phone (816) 453-0900
7117 N Prospect Ave
Kansas City, MO 64119
Phone (816) 452-6500
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
109 N Blue Jay Dr
Liberty, MO 64068
Phone (816) 691-1424
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
2600 Running Horse Rd
Platte City, MO 64079
Phone 8168582200 ext. 82200
916 Wollard Blvd
Richmond, MO 64085
Phone (816) 333-2330
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.
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1194796961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 CLAY EDWARDS DR",
"address_2": "SUITE 240",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163251",
"telephone_number": "816-691-5287",
"fax_number": "816-346-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 RUNNING HORSE ROAD",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640799761",
"telephone_number": "816-858-2200",
"fax_number": "816-858-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADMAN",
"first_name": "JANICE",
"name_prefix": "Ms.",
"credential": "RN, MSN,CS, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "66677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "425064219",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC INDIVIDUAL #",
"identifier": "29893011",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "NEAL",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Platte City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.