Active NPI
Kidist Daka
- Adult Health Clinical Nurse Specialist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 53-82667-072
- Practice address
- 2000 Olathe FL 5
Kansas City, KS 66160-8505 - Phone
- (913) 588-6022
- NPI assigned
- Nov 13, 2023
- Last updated
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 53-82667-072 | KS | Primary |
| Chronic Care Clinical Nurse Specialist | 364SC2300X | 53-82667-072 | KS |
Addresses
Primary practice location
2000 Olathe FL 5
Kansas City, KS 66160-8505
Mailing address
12501 Benson St
Overland Park, KS 66213-1791
Phone (913) 638-0021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368
20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
4000 Cambridge St
Kansas City, KS 66160-8500
4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-82667-072 | KS | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
2000 Olathe
Fl 5
Kansas City, KS 66160
Phone (913) 588-6022
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
dba KU Internal Medicine
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1275307936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 BENSON ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131791",
"telephone_number": "913-638-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OLATHE FL 5",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608505",
"telephone_number": "913-588-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKA",
"first_name": "KIDIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "KS",
"license": "53-82667-072",
"primary": true
},
{
"code": "364SC2300X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Chronic Care",
"state": "KS",
"license": "53-82667-072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.