Individual provider Active NPI

Jeanne Gladfelter, CPED, CFO

  • Pedorthist
  • Kansas City, MO
National Provider Identifier
1790680502
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
CPED4887 Issued in MO
Practice address
406 W 34TH St Ste 710
Kansas City, MO 64111-7511
Phone
(913) 346-2940
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU
Orthotic Fitter 225000000X CFO04847 MO
Pedorthist 224L00000X CPED4887 MO Primary

Addresses

Primary practice location

406 W 34TH St Ste 710
Kansas City, MO 64111-7511

Mailing address

406 W 34TH St Ste 710
Kansas City, MO 64111-7511
Phone (913) 346-2940

Other practice location 1

1701 Commerce Rd
Tonganoxie, KS 66086-5369
Phone (913) 369-8734

Other names 1

  • Jeanne Bavuso Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1790680502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 34TH ST STE 710",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641117511",
            "telephone_number": "913-346-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 34TH ST STE 710",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641117511",
            "telephone_number": "913-346-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Commerce Rd",
            "address_purpose": "LOCATION",
            "city": "Tonganoxie",
            "state": "KS",
            "postal_code": "660865369",
            "country_code": "US",
            "telephone_number": "913-369-8734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADFELTER",
        "first_name": "JEANNE",
        "credential": "CPED, CFO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "MO",
            "license": "CFO04847",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "MO",
            "license": "CPED4887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "BAVUSO",
            "credential": "CPED, CFO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.