Individual provider Active NPI

Janice Gladman, RN, MSN,CS, FNP

  • Nurse Practitioner
  • Platte City, MO
National Provider Identifier
1194796961
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
66677 Issued in MO
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
425064219MedicaidMO
29893011OtherBCBS OF KC INDIVIDUAL #

Other names 1

  • Mrs. Janice Neal Other name

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
I20050502001293 MO Practitioner - Nurse Practitioner 4587603287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
66677MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritashealth Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Jan 2, 2001 Accepting new patients
Meritas Health Corporation CurrentSince Jan 2, 2001 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.

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

Verify at the official NPI Registry.