Active NPI
Kendra Rose, APRN
- Family Nurse Practitioner
- Harrisonville, MO
National Provider Identifier
1336727866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021001817
- Practice address
- 29109 SE Outer Rd
Harrisonville, MO 64701-6328 - Phone
- (816) 804-0252
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021001817 | MO | MD | Family Nurse Practitioner |
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021001817 | MO | Primary |
Addresses
Primary practice location
29109 SE Outer Rd
Harrisonville, MO 64701-6328
Mailing address
29109 SE Outer Rd
Harrisonville, MO 64701-6328
Phone (816) 804-0252
NPI Registry JSON
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1336727866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29109 SE OUTER RD",
"city": "HARRISONVILLE",
"state": "MO",
"postal_code": "647016328",
"telephone_number": "816-804-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29109 SE OUTER RD",
"city": "HARRISONVILLE",
"state": "MO",
"postal_code": "647016328",
"telephone_number": "816-804-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KENDRA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021001817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.