Individual provider Active NPI

Kathleen R Sproules, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1629187992
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
R8J23 Issued in MO
Practice address
9237 Ward Pkwy
Suite 300
Kansas City, MO 64114-3365
Phone
(816) 333-9200
Fax
(816) 268-2601
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X R8J23 MO Primary

Addresses

Primary practice location

9237 Ward Pkwy
Suite 300
Kansas City, MO 64114-3365

Mailing address

9237 Ward Pkwy
Suite 300
Kansas City, MO 64114-3365
Phone (816) 333-9200

Other names 1

  • Kathleen R Weatherford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Specialists, Inc Geriatric Medicine CurrentSince Jul 1, 1993 Accepting new patients
The Rehabilitation Center of Independence, LLC PastSince Dec 1, 2006 Accepting new patients
Crossroads Hospice of Kansas City LC PastSince Nov 6, 2022 Accepting new patients

Locations

12802 Johnson Dr
Shawnee Mission, KS 66216
Phone (913) 203-1032

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1629187992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY",
            "address_2": "SUITE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-333-9200",
            "fax_number": "816-268-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY",
            "address_2": "SUITE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-333-9200",
            "fax_number": "816-268-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROULES",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R8J23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WEATHERFORD",
            "middle_name": "R",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.