Individual provider Active NPI

Karin Gerberding

  • Women's Health Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1265849335
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2014024773 Issued in MO
Practice address
2529 Glenn Hendren Dr
200
Liberty, MO 64068-9607
Phone
(816) 781-7820
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2014024773 MO Primary

Addresses

Primary practice location

2529 Glenn Hendren Dr
200
Liberty, MO 64068-9607

Mailing address

2529 Glenn Hendren Dr
200
Liberty, MO 64068-9607
Phone (816) 781-7820

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
I20150309000029 MO Practitioner - Nurse Practitioner 0042536104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2014024773MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Obstetrics & Gynecology, Inc. CurrentSince Mar 12, 2024 Accepting new patients

Locations

2529 Glenn Hendren Dr
Ste 200
Liberty, MO 64068
Phone (816) 781-7820

2529 Glenn Hendren Dr
Ste 200E
Liberty, MO 64068

2529 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7820

1500 N Church Rd
Ste C
Liberty, MO 64068
Phone (816) 781-9620

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Obstetrics and Gynecology, Inc. 10 clinicians

Practice addresses (Care Compare)

2529 Glenn Hendren Dr
Suite 200
Liberty, MO 64068-9606
Phone (816) 781-7820

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1265849335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR",
            "address_2": "200",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689607",
            "telephone_number": "816-781-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR",
            "address_2": "200",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689607",
            "telephone_number": "816-781-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBERDING",
        "first_name": "KARIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2014024773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.