Organization Active NPI

Marti M Cowherd

Doing business as Family Practice of Ray County

  • Family Medicine Physician
  • Richmond, MO
National Provider Identifier
1649416488
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
113662 Issued in MO
Legal business name
MARTI M COWHERD
Doing business as
Family Practice of Ray County
Practice address
701 Wollard Blvd
Richmond, MO 64085-2206
Phone
(816) 776-6933
Fax
(816) 776-2928
NPI assigned
Dec 29, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Mrs. Marti Michelle Cowherd, APRN,FNP,PNP-BC
Title
Owner/NP
Phone
(816) 776-6933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 113662 MO Primary

Addresses

Primary practice location

701 Wollard Blvd
Richmond, MO 64085-2206

Mailing address

701 Wollard Blvd
Richmond, MO 64085-2206
Phone (816) 776-6933

Other identifiers 1

IdentifierTypeStateIssuer
504691403MedicaidMO

Other names 1

  • Family Practice of Ray County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Practice of Ray County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

701 Wollard Blvd
Richmond, MO 64085
Phone (816) 776-5403

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1649416488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852206",
            "telephone_number": "816-776-6933",
            "fax_number": "816-776-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852206",
            "telephone_number": "816-776-6933",
            "fax_number": "816-776-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTI M COWHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "COWHERD",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "816-776-6933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN,FNP,PNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "113662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504691403",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice of Ray County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.