Individual provider Active NPI

Kathleen R Cita, M.D.

  • Pediatrics Physician
  • Kansas City, MO
National Provider Identifier
1982686903
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006004614 Issued in MO
Practice address
501 NW Barry Rd
Kansas City, MO 64155-2732
Phone
(816) 413-4543
Fax
(816) 413-2555
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2006004614 MO Primary

Addresses

Primary practice location

501 NW Barry Rd
Kansas City, MO 64155-2732

Mailing address

5840 Grand Ave
Kansas City, MO 64113-2128
Phone (816) 569-6989

Other identifiers 2

IdentifierTypeStateIssuer
1481130MedicaidPA
200907707MedicaidMO

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1982686903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 GRAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132128",
            "telephone_number": "816-569-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552732",
            "telephone_number": "816-413-4543",
            "fax_number": "816-413-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITA",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2006004614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1481130",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200907707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.