Active NPI
Stacey Kassanchuk
- Doula
- Raymore, MO
National Provider Identifier
1932012192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 502 S Pelham Path
Raymore, MO 64083-8140 - Phone
- (913) 636-6417
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | NU | Primary |
Addresses
Primary practice location
502 S Pelham Path
Raymore, MO 64083-8140
Mailing address
502 S Pelham Path
Raymore, MO 64083-8140
Phone (913) 636-6417
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": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1932012192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S PELHAM PATH",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640838140",
"telephone_number": "913-636-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S PELHAM PATH",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640838140",
"telephone_number": "913-636-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSANCHUK",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.