Marta Hailu Kifle, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022035981 Issued in MO

Practice address

4429 S River Blvd
Independence, MO 64055-4659

Phone

(816) 768-0090

NPI assigned

Nov 3, 2022

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marta.kifle.1@21565.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ipc Pac Healthcare Services of Missouri Inc

  • Hospitalist Physician
  • Sikeston, MO
  • NPI 1326497587

  Single Specialty

  Medicare reassignment NPD
• Rediscover

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lee's Summit, MO
  • NPI 1841235298

  Single Specialty

  Medicare reassignment NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  KS, MO, Single Specialty

  Medicare reassignment NPD
• Kansas Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Colwich, KS
  • NPI 1124557020

  Single Specialty

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  KS, MO, Single Specialty

  Medicare reassignment NPD
• Bridgeway Clinics LLC

  • Clinic/Center
  • Independence, MO
  • NPI 1609510809

  Single Specialty

  NPD
• Rediscover

  • Methadone Clinic
  • Kansas City, MO
  • NPI 1659749414
  NPD
• Code 1 Wellness

  • Clinical Social Worker
  • Archie, MO
  • NPI 1407475486

  Single Specialty

  NPD (past)
• Archway MH Clinics LLC

  • Adult Mental Health Clinic/Center
  • Overland Park, KS
  • NPI 1861333809

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1891402350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 NW 85TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531600",
            "telephone_number": "816-673-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 S RIVER BLVD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554659",
            "telephone_number": "816-768-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFLE",
        "first_name": "MARTA",
        "middle_name": "HAILU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-81591-091",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022035981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia S Khan, M.D.
• Mohmmad Khoshneviszadeh
• Ashley Suzanne Kidd, RN
• Elizabeth Rose Kieffer
• Jessica R Kientzy, MSN, PMHNP
• Mark Ray Killman, M.D.
• Kim M Davies MD PA
• Yohan Kim, LAC
• Tiffany Kimbrough, COTA
• Jillian Moore King, NP-C

• Psychiatric/Mental Health Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.