Lacey Boshe, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2022031286 Issued in MO

Practice address

9151 NE 81St Ter Ste 240
Kansas City, MO 64158-1307

Phone

(816) 207-0070

NPI assigned

Mar 24, 2019

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Children'S Mercy - Redwood Pediatrics

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1306363858
  NPD (past)

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1952861908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581307",
            "telephone_number": "816-207-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581307",
            "telephone_number": "816-207-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHE",
        "first_name": "LACEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "94-10057",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2022031286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adela J Bortone, MA,CCC-A
• Bos Transportation LLC
• Jacob Bosak, DPT
• Mary Ann Bosch
• Jahi Boseda, CRADC
• Jeraldo Rico Bostic Sr.
• Samantha Bostick
• Alexis Nicole Boston, PHLEBOTOMIST
• Mary Anne Boston, LCSW
• Erin O'Grady Boswell, PHARMD

• Pediatrics Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.