Organization Active NPI

Bertagnolli Medciation Services

  • Diabetes Educator Registered Nurse
  • Kansas City, MO
National Provider Identifier
1437703204
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
Legal business name
BERTAGNOLLI MEDCIATION SERVICES
Practice address
1008 W 93Rd St
Kansas City, MO 64114-3216
Phone
(573) 821-6418
NPI assigned
Jul 30, 2019
Last updated
Jul 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Dr. Charles Bertagnolli Jr., RPHNPI 1922593698
Title
Organization Owner
Phone
(573) 821-6418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X Primary

Addresses

Primary practice location

1008 W 93Rd St
Kansas City, MO 64114-3216

Mailing address

1008 W 93Rd St
Kansas City, MO 64114-3216
Phone (573) 821-6418

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1437703204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W 93RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143216",
            "telephone_number": "573-821-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W 93RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143216",
            "telephone_number": "573-821-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTAGNOLLI MEDCIATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "BERTAGNOLLI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ORGANIZATION OWNER",
        "authorized_official_telephone_number": "573-821-6418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.