Individual provider Active NPI

Susan Gatrost, APRN

  • Gerontology Clinical Nurse Specialist
  • Independence, MO
National Provider Identifier
1982989281
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
058915 Issued in MO
Practice address
2400 N Old Twyman Rd
Independence, MO 64058-2294
Phone
(816) 650-6856
Fax
(816) 650-6856
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 058915 MO
Home Health Registered Nurse 163WH0200X 14-83058-052 KS
Gerontology Clinical Nurse Specialist 364SG0600X 058915 MO Primary

Addresses

Primary practice location

2400 N Old Twyman Rd
Independence, MO 64058-2294

Mailing address

2400 N Old Twyman Rd
Independence, MO 64058-2294
Phone (816) 650-6856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-83058-052KSMDHome Health Registered Nurse
058915MOMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1982989281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N OLD TWYMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640582294",
            "telephone_number": "816-650-6856",
            "fax_number": "816-650-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N OLD TWYMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640582294",
            "telephone_number": "816-650-6856",
            "fax_number": "816-650-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATROST",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "058915",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "KS",
            "license": "14-83058-052",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MO",
            "license": "058915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.