John Knox Village

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2011034116 Issued in MO

Legal business name

JOHN KNOX VILLAGE

Practice address

600 NW Pryor Rd
Lees Summit, MO 64081-1104

Phone

(913) 642-4900

Fax

(913) 381-0979

NPI assigned

Mar 27, 2013

Organization subpart

No

Name

Rodney McBride

Title

VP - Health & Resident Services

Phone

(816) 347-2030

Organizations that report the same tax identification number in the National Provider Directory.

• John Knox Village

  • Ambulance
  • Lees Summit, MO
  • NPI 1316591035
  NPD tax ID
• John Knox Village

  • Physical Therapy Clinic/Center
  • Lees Summit, MO
  • NPI 1609573922
  NPD tax ID
• John Knox Village

  • Community Based Hospice Care Agency
  • Prairie Village, KS
  • NPI 1255033759
  NPD tax ID
• John Knox Village

  • Community Based Hospice Care Agency
  • Lansing, KS
  • NPI 1831492875
  NPD tax ID

Tax ID family

John Knox Village (5 organizations share this tax ID)

• JKV Provider Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2013.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1609118702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25010",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255010",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW PRYOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811104",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KNOX VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "VP - HEALTH & RESIDENT SERVICES",
        "authorized_official_telephone_number": "816-347-2030"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2011034116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "DT2931",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200674690B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JKV Provider Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna L. Hurd, DDS, PC
• Joel D Foster DPM PC
• John Knox Village
• John Knox Village
• John Knox Village
• John Knox Village
• John Knox Village
• John W Klema III PC
• Matthew Wade John, MD
• Brandon Teron Johnson, MD

• All providers in Lees Summit, MO
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.