Robert Anthony Everette, SA-C

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

246ZS0400X Issued in MO

Practice address

7619 E 76TH St
Kansas City, MO 64138-1121

Phone

(816) 358-4316

NPI assigned

May 23, 2007

Last updated

Sep 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Certified First Assistants

  • Surgical Technologist
  • Kansas City, MO
  • NPI 1457561573
  NPD (past) Authorized official
• Midwest Certified First Assistants

  • Surgical Assistant
  • Kansas City, MO
  • NPI 1760659734
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1760692875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300674",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641300674",
            "telephone_number": "816-358-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 E 76TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641381121",
            "telephone_number": "816-358-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETTE",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "MO",
            "license": "246ZS0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Evans, MD
• Mackenzie Even, LMSW
• Evercare Home Health Agency, LLC
• Everest Primary Care LLC
• Carol J Everett, RD, LD
• Mark P Everley, MD
• Everly Home Health Care, LLC
• Everly Home Health Care, LLC (Lattimore's Home Care, LLC)
• Everly Home Health Care, LLC-CDS
• Kathryn Everly, PHARM D

• Surgical Technologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Surgical Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.