MIKALA MARIE LODDER AG-ACNP NPI 1811443070

NPI Information

NPI: 1811443070
Provider Name: MIKALA MARIE LODDER, AG-ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
8700 N GREEN HILLS RD
KANSAS CITY, MO
ZIP 64154
Phone: (913) 574-2520
Get Directions

Mikala Marie Lodder, AG-ACNP is an acute care nurse practitioner in Kansas City, MO with 14 years of experience. Mikala Marie Lodder, AG-ACNP NPI is 1811443070. 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:

8700 N GREEN HILLS RD
KANSAS CITY, MO
ZIP 64154-910
Phone: (913) 574-2520
Fax: (913) 574-2612

The NPI 1811443070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 7/21/2022.

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
1	363LA2100X	Nurse Practitioner	Acute Care	53-77352-121	KANSAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	2017016078	MISSOURI	Yes

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
1	201154160B	MEDICAID	KANSAS
2	1811443070	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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