Individual provider Active NPI

Daniela Escobar Wermuth, MD

  • Student in an Organized Health Care Education/Training Program
  • Kansas City, KS
National Provider Identifier
1881271328
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3901 Rainbow Blvd # Ms 4032
Kansas City, KS 66160-1167
Phone
(720) 275-8486
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 4032
Kansas City, KS 66160-1167

Mailing address

6675 Holmes Rd Ste 360
Kansas City, MO 64131-1167
Phone (816) 276-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629002309 MO Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic RadiologyPractitioner - Family Practice 5799186649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1881271328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311167",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 4032",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661601167",
            "telephone_number": "720-275-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERMUTH",
        "first_name": "DANIELA",
        "middle_name": "ESCOBAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.