Active NPI
Jacqueline Biondo, RNC, NNP
- Neonatal Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1316985781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- NP 107501
- Practice address
- 2401 Gillham Road
Attn: Provider Enrollment Department
Kansas City, MO 64108-4619 - Phone
- (816) 701-5200
- Fax
- (816) 302-9939
- NPI assigned
- Jun 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | NP 107501 | MO | Primary |
Addresses
Primary practice location
2401 Gillham Road
Attn: Provider Enrollment Department
Kansas City, MO 64108-4619
Mailing address
2401 Gillham Road
Attn: Provider Enrollment Department
Kansas City, MO 64108-4619
Phone (816) 701-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429191000 | Medicaid | MO | |
| 200001330B | Medicaid | KS | |
| 466390 | Other | MO | FIRST GUARD |
Other names 1
- Jacqueline Plante
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 107501 | MO | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Newborn Care, LLC | Past | Accepting new patients |
Interoperability endpoints
- jacqueline.biondo@direct.tmcmed.org
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.
-
- Neonatal-Perinatal Medicine Physician
- Kansas City, MO
- NPI 1942251418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1316985781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM ROAD",
"address_2": "ATTN: PROVIDER ENROLLMENT DEPARTMENT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM ROAD",
"address_2": "ATTN: PROVIDER ENROLLMENT DEPARTMENT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200",
"fax_number": "816-302-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIONDO",
"first_name": "JACQUELINE",
"credential": "RNC, NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2021-04-30",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MO",
"license": "NP 107501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "429191000",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200001330B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST GUARD",
"identifier": "466390",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "PLANTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
- Nicole Binkley
- Bio-Dynamix Physical Therapy LLC
- Bio-Medical Applications of Missouri, Inc.
- Bio-Medical Applications of Missouri, Inc.
- Deborah Jeanne Biondo Sr., MS,RD,LD,CNSC
- Bioscrip Pharmacy, Inc.
- Kimberly Bira, DNP, RN,BSN, CPNP-AC
- Christy Birch
- Birchwood Mind Body Clinic LLC
- Jennifer Megan Birdsong, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.