KRISTEN AYANA JACOBS (NPI# 1124098280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124098280 |
| Entity Type | Individual |
| Full Name | KRISTEN AYANA JACOBS |
| Credential | MD |
| Practice Address |
2700 Clay Edwards Dr Suite 500 North Kansas City MO 64116-3251 |
| Mailing Address |
9411 N Oak Trfy Suite Ll1 Kansas City MO 64155-2262 |
| Practice Telephone | 8164214115 |
| Practice Fax Number | 8164214152 |
| Mailing Telephone | 8164367072 |
| Mailing Fax Number | 8164362743 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2003023205 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208443606 | 05 | |
| MO | BCBS OF KC INDIVIDUAL | 33110014 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285032201 | Kristen Jacobs | Registered Nurse | 6130 Kruse Dr, Solon, OH 44139-2300 | 2014-12-08 |
| 1457302655 | Kristen Jacobs | Family Medicine | 329 Broadway St, Mount Vernon, IL 62864-5115 | 2006-05-12 |
| 1548815566 | Kristen Lynn Jacobs | Nurse Practitioner | 695 Clairton Blvd, Pleasant Hills, PA 15236-3811 | 2019-08-06 |
| 1093194680 | Kristen Jacobs | Speech-Language Pathologist | 2315 Sunset Blvd Ste A, Steubenville, OH 43952-2496 | 2015-05-28 |
| 1265751440 | Kristen A. Jacobs | Social Worker | 346 Taft Ave, 030, Glen Ellyn, IL 60137-6296 | 2010-05-27 |
| 1699828392 | Kristen Jacobs | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2007-01-18 |
| 1962594929 | Kristen Jacobs | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1619997590 | Kristen Walters Jacobs | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-07-20 |
| Street Address |
2700 CLAY EDWARDS DR SUITE 500 |
| City | NORTH KANSAS CITY |
| State | MO |
| Zip Code | 64116-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654810 | Robert A Shemwell | Podiatrist | 2700 Clay Edwards Dr, Suite 370, North Kansas City, MO 64116-3251 | 2005-07-28 |
| 1750730297 | Karen Mollus | Nurse Practitioner | 2700 Clay Edwards Dr, Suite 120, North Kansas City, MO 64116-3251 | 2016-06-06 |
| 1639544802 | Kristin Waugh | Nurse Practitioner | 2700 Clay Edwards Dr, Suite 120, North Kansas City, MO 64116-3251 | 2015-12-14 |
| 1750705042 | Horizon Orthotic & Prosthetic | Prosthetic/Orthotic Supplier | 2700 Clay Edwards Dr, Suite 355, North Kansas City, MO 64116-3251 | 2014-02-07 |
| 1780023218 | Meghan Mcmanus | Family Medicine | 2700 Clay Edwards Dr, Suite 240, North Kansas City, MO 64116-3251 | 2013-06-18 |
| 1134481328 | Tina Khaleghi | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2012-06-13 |
| 1053679167 | Aaron Matthew Mayer | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2012-04-26 |
| 1053607192 | Varaporn Treemaneekarn | Internal Medicine | 2700 Clay Edwards Dr, Suite 400, North Kansas City, MO 64116-3251 | 2011-06-28 |
| 1902105794 | Lisa Fujima | Internal Medicine | 2700 Clay Edwards Dr, Suite 240, North Kansas City, MO 64116-3251 | 2011-03-20 |
| 1891010666 | Crystal D Lagalle | Internal Medicine | 2700 Clay Edwards Dr, Ste 400, North Kansas City, MO 64116 | 2010-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134481328 | Tina Khaleghi | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2012-06-13 |
| 1053679167 | Aaron Matthew Mayer | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2012-04-26 |
| 1477640100 | Phyllis G. Roberts | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2006-10-06 |
| 1740384007 | Christine D Green | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2006-09-08 |
| 1750351888 | Leonard John Pittala | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2006-01-23 |
| 1164492294 | Grace Wisco Baysa-ng | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2006-01-23 |
| 1497725543 | Kenneth Paul Duncan | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2006-01-23 |
| 1316927148 | Meritas Health Corporation | Pediatrics | 2700 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3251 | 2006-01-18 |
| 1548243124 | Fernando Fernandez | Pediatrics | 2750 Clay Edwards Dr, Suite 320, North Kansas City, MO 64116-3237 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537222 | Natalie Joan Wilson | Pediatrics | 1463 Us Hwy 61, Suite C, Festus, MO 63028-6302 | 2020-08-04 |
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1033731500 | Jessica N Zeiss | Pediatrics | 981 Highway K, Rhineland, MO 65069-2214 | 2020-05-07 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1811528656 | Children's Mercy-cockerell and Mcintosh Pediatrics, Inc | Pediatrics | 205 Nw R D Mize Rd Ste 304, Blue Springs, MO 64014-2520 | 2020-01-30 |
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1023574365 | Saint Francis Medical Center | Pediatrics | 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901-1908 | 2019-02-12 |
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KANSAS CITY |
| Zip Code | 64116 |
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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.