Individual provider Active NPI

Johnetta Yeargans

  • Licensed Practical Nurse
  • Kansas City, MO
National Provider Identifier
1447701099
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2003010983 Issued in MO
Practice address
7932 N Anita Dr
Kansas City, MO 64151-1200
Phone
(816) 462-4226
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2003010983 MO Primary

Addresses

Primary practice location

7932 N Anita Dr
Kansas City, MO 64151-1200

Mailing address

7932 N Anita Dr
Kansas City, MO 64151-1200

Other names 1

  • Johnetta Yeargans Professional name

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

State licenses

LicenseStateTypeSpecialty
2003010983MOMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Comfort Care, LLC Current Accepting new patients
Cardinal Comfort Care, LLC Current Accepting new patients

Organizations & group practices 2

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1447701099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 N ANITA DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 N ANITA DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511200",
            "telephone_number": "816-462-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARGANS",
        "first_name": "JOHNETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2003010983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNETTA",
            "last_name": "YEARGANS",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 19, 2024; 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.