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JOHN KNOX VILLAGE NPI 1609118702


NPI Information

NPI: 1609118702
Provider Name: JOHN KNOX VILLAGE

Doing Business As: JKV PROVIDER SERVICES

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
600 NW PRYOR RD
LEES SUMMIT, MO
ZIP 64081
Phone: (913) 642-4900
Get Directions

JOHN KNOX VILLAGE is a nurse practitioner in Lees Summit, MO. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. JOHN KNOX VILLAGE NPI is 1609118702. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jkv Provider Services.

The provider's business location address is:

600 NW PRYOR RD
LEES SUMMIT, MO
ZIP 64081-104
Phone: (913) 642-4900
Fax: (913) 381-0979

The provider's authorized official is Rodney Mcbride .
The authorized official title is Vp - Health & Resident Services and has the following contact phone number (816) 347-2030.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner2011034116MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200674690BMEDICAIDKANSAS
2MA4183MEDICARE PINMISSOURI
3DT2931OTHERMISSOURIRR

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: 4/28/2024

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