Active NPI
Jeanne Marie Earnest, MS
- Clinical Psychologist
- Raytown, MO
National Provider Identifier
1386658557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PYO1234
- Practice address
- 6220 Blue Ridge Cut Off
Suite 201
Raytown, MO 64133-3700 - Phone
- (816) 313-0057
- Fax
- (816) 356-4974
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PYO1234 | MO | Primary |
Addresses
Primary practice location
6220 Blue Ridge Cut Off
Suite 201
Raytown, MO 64133-3700
Mailing address
6220 Blue Ridge Cut Off
Suite 201
Raytown, MO 64133-3700
Phone (816) 313-0057
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PYO1234 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386658557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 BLUE RIDGE CUT OFF",
"address_2": "SUITE 201",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641333700",
"telephone_number": "816-313-0057",
"fax_number": "816-356-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 BLUE RIDGE CUT OFF",
"address_2": "SUITE 201",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641333700",
"telephone_number": "816-313-0057",
"fax_number": "816-356-4974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNEST",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "PYO1234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.