Excelsior Springs Hospital

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

2016003072 Issued in MO

Legal business name

EXCELSIOR SPRINGS HOSPITAL

Practice address

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182

Phone

(816) 630-6081

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Petisha Jane Davis, FNP-C

Title

Family Nurse Practitioner

Phone

(816) 807-6228

Specialties & licenses 1

Addresses

Other names 1

• Freedom Health Care Doing business as

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a703c1c1-ff1b-4801-8b94-d0b101bbd1a1/

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1205296381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RAINBOW BLVD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241182",
            "telephone_number": "816-630-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RAINBOW BLVD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241182",
            "telephone_number": "816-630-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR SPRINGS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PETISHA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "816-807-6228",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MO",
            "license": "2016003072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excelsior Springs City Hospital
• Excelsior Springs City Hospital
• Excelsior Springs City Hospital
• Excelsior Springs City Hospital
• Excelsior Springs Family Dentistry LLC
• Excelsior Springs Nursing and Rehab LLC
• Excelsior Springs Pediatric Clinic
• Excelsior Springs Physician Clinic LLC
• Excelsior Springs Physicians Clinic
• Excelsior Springs Physicians Clinics LLC

• All providers in Excelsior Springs, MO
• Rural Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.