Individual provider Active NPI

Gloria Quick

  • Physician Assistant
  • Lees Summit, MO
National Provider Identifier
1962264952
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025032918 Issued in MO
Practice address
3490 NE Ralph Powell Rd Ste B
Lees Summit, MO 64064-2377
Phone
(816) 347-3566
Fax
(833) 907-2284
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2025032918 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3490 NE Ralph Powell Rd Ste B
Lees Summit, MO 64064-2377

Mailing address

3490 NE Ralph Powell Rd Ste B
Lees Summit, MO 64064-2377
Phone (816) 347-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2025032918MOMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: gloria.quick.1@25062.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1962264952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 NE RALPH POWELL RD STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642377",
            "telephone_number": "816-347-3566",
            "fax_number": "833-907-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 NE RALPH POWELL RD STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642377",
            "telephone_number": "816-347-3566",
            "fax_number": "833-907-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025032918",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.