Pediatric Care North

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2012029116 Issued in MO

Legal business name

PEDIATRIC CARE NORTH

Practice address

8781 N Platte Purchase Dr
Kansas City, MO 64155-1829

Phone

(816) 587-3200

Fax

(816) 587-7644

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Susan L Storm, MD

Title

President

Phone

(816) 587-3200

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Care North2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Care North

  • Specialist
  • Kansas City, MO
  • NPI 1558391698
  NPD tax ID

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1780090860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 N PLATTE PURCHASE DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551829",
            "telephone_number": "816-587-3200",
            "fax_number": "816-587-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 N PLATTE PURCHASE DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551829",
            "telephone_number": "816-587-3200",
            "fax_number": "816-587-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-587-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "RN2012029116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes K Peck
• Anthony Paul Pecoraro, MD
• Jodi L Pedersen, DC, BS
• Natalie Bliss Pederson, DPT
• Pediatric Care North
• Pediatric Dental Specialists, PA
• Pediatric Group Inc
• Pediatric Headache Center PC
• Pediatric Smiles, LLC
• Pediatric Therapy Services, Inc.

• Pediatric Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.