Anna Rachelle Kacirek, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2021008238 Issued in MO

Practice address

4400 Broadway Blvd Ste 206
Kansas City, MO 64111-3342

Phone

(816) 561-8100

Fax

(816) 561-8154

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1708

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.

• Children's Mercy-Pediatric Associates

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1598214306

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1235724659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD STE 206",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-561-8100",
            "fax_number": "816-561-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD STE 206",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-561-8100",
            "fax_number": "816-561-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 NW Commerce Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640865883",
            "country_code": "US",
            "telephone_number": "816-554-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACIREK",
        "first_name": "ANNA",
        "middle_name": "RACHELLE",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2021008238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K & D Transitional Living, LLC
• K.B. Kids ABA Therapy
• Jean-Luc Kalonda Kabangu, MD
• Lauren Mae Kaberline, APRN, NP-C
• Hannah Kacerovskis, DPT
• Amarnath Kadimella
• Nteziryayo Kadomo
• Angela J Kaestner
• Christopher L Kafka, DO
• Jayme Marie Kagarice, MSN, RN ,APRN, CPNP

• Pediatric Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.