Jennifer L Othmer, CNS
Individual provider Active NPI Clinical Nurse Specialist · Kansas City, MO
NPI 1770528283 · NPPES record last updated Feb 20, 2008
Key facts
- NPI
- 1770528283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- License
- 2005027490 (MO)
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-2179
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005027490 | MO | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Lukes Advanced Practice Nurse | Past | Accepting new patients | |
| Saint Lukes Physician Group II LLC | Past | Accepting new patients | |
| St Lukes Hospital of Kansas City | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 2005027490 | MO | Yes |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
PO Box 931168
Kansas City, MO 64193-0001
Phone (816) 461-8288
Other names
- Jennifer L Matukaitis
Other providers in Kansas City, MO
- Cynthia Ostrander
- Kingsley U. Osuagwu
- Laurie Alison Oswald
- Veronica Otero Ramos
- Othmer Psychiatric Center
- Randal Duane Otis
- Otologic Center, Inc.
- Kristi L Ott
- Matthew Lawrence Ott
- Roger Wayne Ott
All providers in Kansas City, MO · Clinical Nurse Specialist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.