Individual provider Active NPI

Molly Kunzler, ARNP

  • Family Nurse Practitioner
  • Gladstone, MO
National Provider Identifier
1992210389
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5377961031 Issued in KS
Practice address
5601 NE Antioch Rd Ste 2
Gladstone, MO 64119-2375
Phone
(816) 452-4488
NPI assigned
Dec 6, 2017
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5377961031 KS Primary

Addresses

Primary practice location

5601 NE Antioch Rd Ste 2
Gladstone, MO 64119-2375

Mailing address

2900 NE 60TH St Ste 100
Kansas City, MO 64119-2091
Phone (816) 872-1861

Other names 1

  • Molly Winder Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307000498 MO Practitioner - Nurse Practitioner 9436410545 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5377961031KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Muscle and Joint, LLC CurrentSince Feb 23, 2018 Accepting new patients
Comprehensive Health of Planned Parenthood Great Plains PastSince Jun 27, 2021 Accepting new patients
Planned Parenthood Great Plains PastSince Jun 27, 2021 Accepting new patients

Locations

5601 N Antioch Rd
Ste 4
Kansas City, MO 64119
Phone (816) 452-4488

4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1992210389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NE 60TH ST STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192091",
            "telephone_number": "816-872-1861",
            "fax_number": "816-454-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD STE 2",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192375",
            "telephone_number": "816-452-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZLER",
        "first_name": "MOLLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5377961031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "WINDER",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.