Individual provider Active NPI

Katherine Anne Bonessa, CPNP-AC

  • Critical Care Pediatric Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1215480272
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
77298 Issued in KS
Practice address
2401 Gillham Rd
Fetal Cardiology: 3Rd Floor Hall Tower
Kansas City, MO 64108-4619
Phone
(816) 234-3209
NPI assigned
Jul 26, 2016
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 77298 KS Primary
Critical Care Pediatric Nurse Practitioner 363LP0222X 2016021264 MO

Addresses

Primary practice location

2401 Gillham Rd
Fetal Cardiology: 3Rd Floor Hall Tower
Kansas City, MO 64108-4619

Mailing address

2401 Gillham Rd
Fetal Cardiology: 3Rd Floor Hall Tower
Kansas City, MO 64108-4619
Phone (816) 234-3209

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
77298KSMDCritical Care Pediatric Nurse Practitioner
2016021264MOMDCritical Care Pediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1215480272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "FETAL CARDIOLOGY: 3RD FLOOR HALL TOWER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-234-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "FETAL CARDIOLOGY: 3RD FLOOR HALL TOWER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-234-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONESSA",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "KS",
            "license": "77298",
            "primary": true
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MO",
            "license": "2016021264",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 8, 2018; 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.