Individual provider Active NPI

Caroline D Grow

  • Certified Registered Nurse Anesthetist
  • Liberty, MO
National Provider Identifier
1366865180
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2014000957 Issued in MO
Practice address
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone
(816) 792-7126
Fax
(816) 792-7196
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2007017066 MO
Certified Registered Nurse Anesthetist 367500000X 2014000957 MO Primary

Addresses

Primary practice location

2525 Glenn Hendren Dr
Liberty, MO 64068-9625

Mailing address

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 792-7126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140228001472 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325278807 Reassigns benefits to 5 organizations
I20160602001553 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325278807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-7415
Phone (913) 588-3315

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2007017066MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Digestive Health Specialists, LLC CurrentSince Jul 15, 2016 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Eye Care, LLC CurrentSince May 1, 2018 Accepting new patients
Eye Care, LLC Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jun 27, 2024 Accepting new patients
Kansas University Physicians Inc CurrentSince Jun 27, 2024 Accepting new patients
Professional Anesthetic Care Inc CurrentSince Jan 18, 2014 Accepting new patients
Eye Care LLC CurrentSince May 1, 2018 Accepting new patients
Eye Care, LLC CurrentSince May 1, 2018 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

11120 Tomahawk Creek Pkwy
Leawood, KS 66211
Phone (913) 559-2440

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

619 SW Corporate Vw
Topeka, KS 66615
Phone (785) 232-6022

670 S Commercial St
Harrisonville, MO 64701

3800 S Whitney Ave
Ste 100
Independence, MO 64055

3800 S Whitney Ave
Ste 200
Independence, MO 64055

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

9601 NE 79th St
Kansas City, MO 64158

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

5202 Faraon St
#C
Saint Joseph, MO 64506
Phone (816) 233-2020

3310 W 10th St
Sedalia, MO 65301
Phone (660) 829-2837

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1366865180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689625",
            "telephone_number": "816-792-7126",
            "fax_number": "816-792-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689625",
            "telephone_number": "816-792-7126",
            "fax_number": "816-792-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROW",
        "first_name": "CAROLINE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007017066",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2014000957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.