JACKIE KIM TRYON (NPI# 1083920029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083920029 |
| Entity Type | Individual |
| Full Name | JACKIE KIM TRYON |
| Credential | RN |
| Practice Address |
9405 N Oak Trfy Kansas City MO 64155-2233 |
| Practice Telephone | 8164122900 |
| Practice Fax Number | 8164122915 |
| Mailing Telephone | 8164122900 |
| Mailing Fax Number | 8164122915 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
082544 | MO | Nursing Service Providers |
| Street Address |
9405 N OAK TRFY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64155-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702179 | Robert Alan Grimes | Pediatrics | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2005-07-04 |
| 1992316731 | Katherine Macdougall | Pediatrics | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2020-08-14 |
| 1578027504 | Bethany Hyde Althoff | Counselor | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2019-01-23 |
| 1790294072 | Brittany Mccrary | Social Worker | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2017-09-29 |
| 1740675735 | Samantha Wiemann | Pediatrics | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2015-04-06 |
| 1396130688 | Jodi Vangundy | Pediatrics | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2015-04-02 |
| 1205243102 | Grace Palen | Nurse Practitioner | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2014-07-13 |
| 1326483025 | Jennifer S Cauble | Dietitian, Registered | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2013-05-08 |
| 1356698963 | Sharon Kay Demoss | Lactation Consultant, Non-RN | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2012-08-14 |
| 1669562898 | Martha Ann Richardson | Nurse Practitioner | 9405 N Oak Trfy, Kansas City, MO 64155-2233 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
| 1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
| 1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
| 1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
| 1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
| 1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
| 1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
| 1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
| Find all providers in zip 64155 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285260133 | Morgan Jackson | Registered Nurse | 504 Bellefontaine Ave Apt 1, Kansas City, MO 64124-1960 | 2020-03-22 |
| 1558919654 | Lydia F Robinson | Registered Nurse | 3416 N 128th St, Kansas City, KS 66109-4302 | 2019-09-01 |
| 1093298655 | Melissa Marie Jackson | Registered Nurse | 456 W 68th St, Kansas City, MO 64113-1919 | 2018-09-10 |
| 1427479377 | Sherry Lenore Payne | Registered Nurse | 3647 Troost, Kansas City, MO 64109 | 2013-12-19 |
| 1275832123 | Barbara Ann Lawson | Registered Nurse | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-03-17 |
| 1558679571 | Kay Beth Dehart | Registered Nurse | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-09-24 |
| 1487969374 | Helen Marie Huff | Registered Nurse | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-08-16 |
| 1255565636 | Elizabeth L Schirk | Registered Nurse | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-05-13 |
| 1962612721 | Mary Jane Smith | Registered Nurse | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790337657 | Allie Jade Heffington | Registered Nurse | 3539 S Lone Pine Ave # 200, Springfield, MO 65804-4854 | 2019-07-11 |
| 1801352612 | Rachel C Snider | Registered Nurse | 1710 Jennings Pl, Chillicothe, MO 64601-1960 | 2019-02-17 |
| 1972087989 | Amanda Stoops | Registered Nurse | 2805 Middlebush Dr, Columbia, MO 65203-1559 | 2018-09-17 |
| 1740791490 | Emily Miller | Registered Nurse | 13315 Donnelly Ave, Grandview, MO 64030-3544 | 2017-10-21 |
| 1306363676 | Kathleen Blaha | Registered Nurse | 3413 Riverchase Pkwy, Saint Charles, MO 63301-4113 | 2017-08-27 |
| 1295256279 | Nicole Halling | Registered Nurse | 12320 Se State Route A, Saint Joseph, MO 64507-7413 | 2017-06-29 |
| 1972964153 | Terry L Vogt | Registered Nurse | 6437 Murdoch Ave, Saint Louis, MO 63109-2605 | 2016-03-15 |
| 1376918953 | Melissa Ann Liebhart | Registered Nurse | 3948 Summerview Dr, Saint Charles, MO 63304-2661 | 2015-12-07 |
| 1811366008 | Danielle Croce | Registered Nurse | 1831 Boulder Springs Dr, Apt. I, Saint Louis, MO 63146-3953 | 2015-09-18 |
| 1346645207 | Tabitha Michelle Voshell Young | Registered Nurse | 1311 Ranson St, Independence, MO 64057-2717 | 2014-11-04 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64155 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.