Individual provider Active NPI

Teadora Locke

  • Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1821687864
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2021001526 Issued in MO
Practice address
1860 N Church Rd
Liberty, MO 64068-7179
Phone
(816) 415-2828
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2021001526 MO Primary

Addresses

Primary practice location

1860 N Church Rd
Liberty, MO 64068-7179

Mailing address

1860 N Church Rd
Liberty, MO 64068-7179
Phone (816) 415-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220614003057 MO Practitioner - Nurse Practitioner 3173902558 Reassigns benefits to 2 organizations
I20240111002068 KS Practitioner - Nurse Practitioner 3173902558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Care Plus LLCGroup PAC ID 0547328460, 18 clinicians
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

10015 N Ambassador Dr
Suite 100
Kansas City, MO 64153-1437
Phone (816) 595-4000

1860 N Church Rd
Liberty, MO 64068-7179
Phone (816) 415-2828

2741 NE McBaine Dr
Lees Summit, MO 64064-7880
Phone (816) 554-2600

3509 SW Market St
Lees Summit, MO 64082-2327
Phone (816) 366-1197

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021001526MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Care Plus, LLC CurrentSince May 20, 2022 Accepting new patients
Carespot Professional Services LLC CurrentSince Aug 4, 2015 Accepting new patients
Kansas Carenow Urgent Care LLC CurrentSince Mar 9, 2026 Accepting new patients

Locations

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

10015 N Ambassador Dr
Ste 100
Kansas City, MO 64153
Phone (816) 595-4000

3509 SW Market St
Lees Summit, MO 64082
Phone (816) 366-1197

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

1860 N Church Rd
Liberty, MO 64068
Phone (816) 368-8226

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1821687864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N CHURCH RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687179",
            "telephone_number": "816-415-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N CHURCH RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687179",
            "telephone_number": "816-415-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "TEADORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021001526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.