Individual provider Active NPI

Katrina Becker, BSN RN

  • Home Health Registered Nurse
  • Excelsior Springs, MO
National Provider Identifier
1407666308
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2009028962 Issued in MO
Practice address
110 S Main St
Excelsior Springs, MO 64024-2295
Phone
(816) 615-2333
Fax
(816) 848-5001
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2009028962 MO Primary

Addresses

Primary practice location

110 S Main St
Excelsior Springs, MO 64024-2295

Mailing address

110 S Main St
Excelsior Springs, MO 64024-2295
Phone (816) 615-2333

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2009028962MOMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kcare, LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

110 S Main St
Excelsior Springs, MO 64024
Phone (816) 615-2333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1407666308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640242295",
            "telephone_number": "816-615-2333",
            "fax_number": "816-848-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640242295",
            "telephone_number": "816-615-2333",
            "fax_number": "816-848-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "KATRINA",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "2009028962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.