1427090687 NPI number — KAYLA J BARTA RN, BC, ANP

Table of content: IVETTE PORRAS THORPE (NPI 1942073879)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427090687 NPI number — KAYLA J BARTA RN, BC, ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARTA
Provider First Name:
KAYLA
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, BC, ANP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427090687
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4330 WORNALL RD
Provider Second Line Business Mailing Address:
SUITE 2000
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64111-5939
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-931-1883
Provider Business Mailing Address Fax Number:
816-756-3645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4330 WORNALL RD
Provider Second Line Business Practice Location Address:
SUITE 2000
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64111-5939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-931-1883
Provider Business Practice Location Address Fax Number:
816-756-3645
Provider Enumeration Date:
06/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  155688 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00842708 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 200304940D , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00836124 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 200304940E , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1427090687 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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