NDH Medicare Risk Assessment LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NDH MEDICARE RISK ASSESSMENT LLC

Practice address

8801 E 63Rd St Ste 102
Raytown, MO 64133-4865

Phone

(816) 255-0837

NPI assigned

Oct 6, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Hamilton, FNPNPI 1417501255

Title

Owner

Phone

(816) 255-0837

Specialties & licenses 1

Addresses

Other names 1

• Eastside Health & Wellness Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Hamilton, FNP

  • Family Nurse Practitioner
  • Raytown, MO
  • NPI 1417501255
  NPD Authorized official
• Ann Elizabeth Bruer

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1760248025
  NPD

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1316662901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NW CENTRAL ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631920",
            "telephone_number": "816-255-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 E 63RD ST STE 102",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334865",
            "telephone_number": "816-255-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDH MEDICARE RISK ASSESSMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-255-0837",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frankline Tijieh Musongwe, PHARM D.
• Eunice Minoo Mutisya, NP-C
• James Thaithi Mwangi
• Farng Napper, DDS
• Diana Elizabeth Naumann, PT, BSPT
• Amber Dawn Neal, DPT
• Lee Neenan
• Taylor Neil
• Kelly Neland, DNP, FNP, PMHNP
• Sharhonda Lashaun Nelson

• Family Nurse Practitioner in Raytown, MO
• Providers in Raytown, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.