Individual provider Active NPI

Kacey Danker

  • Student in an Organized Health Care Education/Training Program
  • St Joseph, MO
National Provider Identifier
1336020098
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2121 S Riverside Rd
Apt 12 BLDG 11
St Joseph, MO 64507-3013
Phone
(712) 789-1794
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2121 S Riverside Rd
Apt 12 BLDG 11
St Joseph, MO 64507-3013

Mailing address

2121 S Riverside Rd
Apt 12 BLDG 11
St Joseph, MO 64507-3013

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1336020098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S RIVERSIDE RD",
            "address_2": "APT 12 BLDG 11",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645073013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S RIVERSIDE RD",
            "address_2": "APT 12 BLDG 11",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645073013",
            "telephone_number": "712-789-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKER",
        "first_name": "KACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.