Active NPI
Chandler Catherine Perry, FNP-C
- Primary Care Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1710677992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2023015922
- Practice address
- 3101 Broadway Blvd
Kansas City, MO 64111-2659 - Phone
- (816) 960-3080
- Fax
- (816) 302-9939
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023015922 | MO | |
| Primary Care Nurse Practitioner | 363LP2300X | 2023015922 | MO | Primary |
Addresses
Primary practice location
3101 Broadway Blvd
Kansas City, MO 64111-2659
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53-82558-091 | Other | KS | KANSAS STATE BOARD OF NURSING - CNP |
| 2023015922 | Other | MO | MISSOURI STATE BOARD OF NURSING - CNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023015922 | MO | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Mercy Hospital | Current | Accepting new patients | |
| The Children'S Mercy Hospital | Current | Accepting new patients | |
| The Children'S Mercy Hospital | Past | Accepting new patients |
Locations
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
3101 Broadway Blvd
Kansas City, MO 64111
Phone (816) 302-3700
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.
-
- Pediatrics Physician
- Kansas City, MO
- NPI 1851437719
-
- Mail Order Pharmacy
- Riverside, MO
- NPI 1235923194
-
- Children's Hospital
- Overland Park, KS
- NPI 1154400232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1710677992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 BROADWAY BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112659",
"telephone_number": "816-960-3080",
"fax_number": "816-302-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "CHANDLER",
"middle_name": "CATHERINE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2023015922",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2023015922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE BOARD OF NURSING - CNP",
"identifier": "53-82558-091",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI STATE BOARD OF NURSING - CNP",
"identifier": "2023015922",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.