Robert Dean McDavitt, RN BSN COCN CWCN

Primary specialty

Enterostomal Therapy Registered NurseTaxonomy code 163WE0900X

License

136779 Issued in MO

Practice address

9908 N Hedges Ave
Kansas City, MO 64157-9604

Phone

(816) 415-8189

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1356508246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 N HEDGES AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579604",
            "telephone_number": "816-415-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 N HEDGES AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579604",
            "telephone_number": "816-415-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDAVITT",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "RN BSN COCN CWCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "MO",
            "license": "136779",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "136779",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MO",
            "license": "136779",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "MO",
            "license": "136779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly McDaniel, LMSW
• Lindsey McDaniel, M.D.
• Lindsey Michelle McDaniel, M.D.
• Michael Shawn McDaniel, PSY.D.
• Edison Paxton McDaniels II, MD
• Connor McDermott, DPT, PT
• Elaine McDermott
• Megan McDermott
• Alice McDill-Chapman
• McDonagh Medical Center,Inc.

• Enterostomal Therapy Registered Nurse in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Enterostomal Therapy Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.