Active NPI
Marti M Cowherd
Doing business as Family Practice of Ray County
- Family Medicine Physician
- Richmond, MO
National Provider Identifier
1649416488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 113662
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504691403 | Medicaid | MO |
Other names 1
- Family Practice of Ray County
National Provider Directory
National Provider Directory- Tax ID family
- Family Practice of Ray County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Richmond, MO
- NPI 1205909207
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
- Ryan Lauck, D.C.
- Michele Lee Lewis, L.C.S.W.
- Megan Liebau, FNP-BC
- Life Recovery Consulting, LLC
- Marti M Cowherd
- Whitnee Amaris Maycock, MD
- Meritas Health Corporation (Meritas Health Richmond)
- Meritas Health Corporation (NKC Health)
- Meritas Health Corporation (NKC Health)
- Meritas Health Corporation (NKC Health)
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.