KATHY CLYDEAN ERICKSON RN CS FNP NPI 1316921430

NPI Information

  • NPI: 1316921430
  • Provider Name: KATHY CLYDEAN ERICKSON, RN, CS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1600 E EVERGREEN ST
    SUITE C
    CAMERON, MO
    ZIP 64429
  • Phone: (816) 632-2139

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NPI Details

Kathy Clydean Erickson, RN, CS, FNP is a family nurse practitioner in Cameron, MO. Kathy Clydean Erickson, RN, CS, FNP NPI is 1316921430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 E EVERGREEN ST
SUITE C
CAMERON, MO
ZIP 64429-400
Phone: (816) 632-2139
Fax: (816) 632-2315

The enumeration date for this NPI number is 12/1/2005 and was last updated on 12/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology065142MISSOURINo
2363LF0000XNurse PractitionerFamily065142MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R88598MEDICARE UPINMISSOURI
27857453MEDICARE PINMISSOURI
3427786421MEDICAIDMISSOURI
4P00607932OTHERMISSOURIMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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