Individual provider Active NPI

Debra E McConville, ARNP, BC, CDE

  • Adult Health Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1437193133
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
091424 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 1250
C/O Hellman & Rosen Endocrine
North Kansas City, MO 64116-3260
Phone
(816) 421-3700
Fax
(816) 421-1654
NPI assigned
Jun 15, 2006
Last updated
May 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 091424 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 1250
C/O Hellman & Rosen Endocrine
North Kansas City, MO 64116-3260

Mailing address

2790 Clay Edwards Dr Ste 1250
C/O Hellman & Rosen Endocrine
North Kansas City, MO 64116-3260
Phone (816) 421-3700

Other identifiers 1

IdentifierTypeStateIssuer
P00924438OtherMORAILROAD MEDICARE PTAN

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1437193133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 1250",
            "address_2": "C/O HELLMAN & ROSEN ENDOCRINE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163260",
            "telephone_number": "816-421-3700",
            "fax_number": "816-421-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 1250",
            "address_2": "C/O HELLMAN & ROSEN ENDOCRINE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163260",
            "telephone_number": "816-421-3700",
            "fax_number": "816-421-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONVILLE",
        "first_name": "DEBRA",
        "middle_name": "E",
        "credential": "ARNP, BC, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "091424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00924438",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.