Individual provider Active NPI

Sonya K. Roe, F.N.P.

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1760920458
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017000762 Issued in MO
Practice address
904 S 10TH St
Saint Joseph, MO 64503-2405
Phone
(816) 233-8536
Fax
(816) 233-5296
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017000762 MO Primary

Addresses

Primary practice location

904 S 10TH St
Saint Joseph, MO 64503-2405

Mailing address

904 S 10TH St
Saint Joseph, MO 64503-2405
Phone (816) 233-8536

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220000228 MO Practitioner - Nurse Practitioner 0547543464 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Express LLC CurrentSince Mar 3, 2020 Accepting new patients
Restore Muscle and Joint, LLC CurrentSince Feb 26, 2019 Accepting new patients
Emergent Care Plus, LLC CurrentSince Jun 15, 2020 Accepting new patients

Locations

7642 N Oak Trfy
Kansas City, MO 64118
Phone (816) 468-1411

4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488

2741 NE McBaine Dr
Lees Summit, MO 64064
Phone (816) 554-2600

4776 Verona Dr
Saint Joseph, MO 64506
Phone (816) 396-9500

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.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1760920458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032405",
            "telephone_number": "816-233-8536",
            "fax_number": "816-233-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032405",
            "telephone_number": "816-233-8536",
            "fax_number": "816-233-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "SONYA",
        "middle_name": "K.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.