Kimberly Joyce Bywaters, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

13-60603-022 Issued in KS

Practice address

6801 E 117TH St
Kansas City, MO 64134-3701

Phone

(816) 554-4285

Fax

(816) 554-5550

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1366562001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 E 117TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641343701",
            "telephone_number": "816-554-4285",
            "fax_number": "816-554-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 E 117TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641343701",
            "telephone_number": "816-554-4285",
            "fax_number": "816-554-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYWATERS",
        "first_name": "KIMBERLY",
        "middle_name": "JOYCE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KS",
            "license": "13-60603-022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2001022863",
            "identifier": "2001022863",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Taylor Byrd
• Mark Gregory Byrd
• Michael Maurice Byrd
• Bridget Susan Byrne, MSW
• Veronica M Byrne, RN, MSN, CPNP
• C and M Support Services
• C and N Ventures
• C&T FMS
• C&V Home Healthcare
• Cadey Cabdi

• All providers in Kansas City, MO
• Adult Psychiatric/Mental Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.