Mary V Chance, APN

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

104029 Issued in MO

Practice address

601 S 169 Hwy
Smithville, MO 64089-9317

Phone

(816) 461-8288

Fax

(816) 461-6586

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mary V Jenkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1689635864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 NORTHWYCK DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 169 HWY",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899317",
            "telephone_number": "816-461-8288",
            "fax_number": "816-461-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "MARY",
        "middle_name": "V",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "104029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200305140A",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429019003",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JENKINS",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Robert Brown, D.O.
• Linda Ann Buckmiller, DC
• Burkman Podiatry Inc
• Allison Bustos, RD
• Kimberly Kay Cater, M.D.
• Cheyenne Rachel Cockrill, PTA
• Anita Jewell Cockrum, SLP-CCC
• Cosentino Enterprises Inc
• Michael Damot, PT
• Shelbi Davis

• Psychiatry Physician in Smithville, MO
• Providers in Smithville, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.