Individual provider Active NPI

Sydni Marie Kaden, MS, LAT, ATC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Joseph, MO
National Provider Identifier
1235649211
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
2015023367 Issued in MO
Practice address
802 N Riverside Rd Ste 130
Saint Joseph, MO 64507-2508
Phone
(816) 271-6664
Fax
(816) 271-4924
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 2015023367 MO Primary

Addresses

Primary practice location

802 N Riverside Rd Ste 130
Saint Joseph, MO 64507-2508

Mailing address

2216 S Leonard Rd Apt 2
Saint Joseph, MO 64503-1957
Phone (573) 201-5672

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2015023367MOMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1235649211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 S LEONARD RD APT 2",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645031957",
            "telephone_number": "573-201-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 130",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072508",
            "telephone_number": "816-271-6664",
            "fax_number": "816-271-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADEN",
        "first_name": "SYDNI",
        "middle_name": "MARIE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MO",
            "license": "2015023367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.