Lara Lynn Petrie, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

14-79706-092 Issued in KS

Practice address

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212

Phone

(816) 363-2600

Fax

(816) 444-1928

NPI assigned

Dec 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1902519713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 NW PAWNEE DR",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509685",
            "telephone_number": "816-510-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-444-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "LARA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-79706-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpetrie@kchospice.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9001 State Line Rd Ste 300",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641143212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Peterson, MD
• Michael Petite
• Toni Petralie
• Cynthia Spiliopoulou Petrie, DDS
• Diane Renee Petrie, F.N.P.-BC
• Joshua E Petrikin, M.D.
• Carol Anne Petrini, MSN, RNC-NIC
• Katherine B Petrosky, AUD
• Caroline Rose Pettijohn, ATC
• Lisa Pettit-Green, MD

• Registered Nurse in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.