MARY JO DRAKE (NPI# 1215067921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215067921 |
| Entity Type | Individual |
| Full Name | MARY JO DRAKE |
| Credential | RNC,WHNP |
| Practice Address |
4112 Ne Vivion Rd Kansas City MO 64119-2811 |
| Mailing Address |
4401 W 109th St Suite 200 Overland Park KS 66211-1303 |
| Practice Telephone | 8164536000 |
| Mailing Telephone | 9133125100 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
108490 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS OF KC GRP ID # | 06215014 | 01 |
| MO | BCBS OF KC PERF PROV # | 09841038 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518038645 | Mary R Drake | Occupational Therapist | 728 Post Rd E, Westport, CT 06880-5200 | 2006-11-12 |
| 1346332947 | Mary Kathleen Drake | Audiologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-09-29 |
| 1831109362 | Mary Drake | Emergency Medicine | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2006-08-08 |
| 1720036205 | Mary Kay Drake | Radiology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-05 |
| Street Address |
4112 NE VIVION RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64119-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942511001 | Janet Andrews | Clinical Nurse Specialist | 4112 Ne Vivion Rd, Kansas City, MO 64119-2811 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1528525219 | Lifestreams, LLC | Home Health | 5229 Ne 56th Place, Kansas City, MO 64119 | 2019-02-28 |
| 1740639798 | Daniel Sucher | Dentist | 5416 Ne Antioch Rd, Kansas City, MO 64119 | 2016-06-10 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1376929976 | Abigail Blair | Physical Therapist | 8121 Ne 69 Highway, Kansas City, MO 64119 | 2015-08-05 |
| 1508273939 | Morgan Shockey | Dentist | 244 E Us Hwy 69, Ste 101, Claycomo, MO 64119 | 2014-07-17 |
| 1184865990 | Laura F Hanna | Psychologist | 3100 Ne 83rd Street, Suite#1001, Kansas City, MO 64119 | 2009-03-09 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1356533194 | Levelup Kids, Inc. | Optometrist | 5416 Ne Antioch Road, Kansas City, MO 64119 | 2007-08-15 |
| 1275738932 | Renee Christine Springer | Physical Therapist | 2901 Ne 72nd St, Gladstone, MO 64119 | 2007-06-20 |
| Find all providers in zip 64119 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288274 | Megan Cecile Johnson | Nurse Practitioner | 7924 Ne 53rd St, Kansas City, MO 64119-4149 | 2019-07-28 |
| 1710357280 | Terri Lablance | Nurse Practitioner | 3905 Bernard Powell Dr, Kansas City, MO 64127-3427 | 2015-09-28 |
| 1427387679 | Colleen M. Johnson | Nurse Practitioner | 7306 Wyoming St, Kansas City, MO 64114-1259 | 2009-12-17 |
| 1407938848 | Jennifer Anne Seymour | Nurse Practitioner | 3901 Rainbow Blvd, Ms 2028, Ku Women's Health Specialty Centers, Kansas City, KS 66160 | 2006-10-19 |
| 1073526299 | Jacki Sue Witt | Nurse Practitioner | Truman Medical Center 2301 Holmes Road, Kansas City, MO 64108 | 2006-08-15 |
| 1730786682 | Donnica Miller | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-05 |
| 1669016424 | Lindsey Ackerson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-11-04 |
| 1538716022 | Joyce Cummings | Nurse Practitioner | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2019-08-20 |
| 1770141442 | Leigh Ellen Stephenson | Nurse Practitioner | 710 N 7th St, Kansas City, KS 66101-3051 | 2019-05-29 |
| 1245796044 | Laura Laney | Nurse Practitioner | 2301 Holmes St, Kansas City, MO 64108-2677 | 2019-02-17 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64119 |
Please comment or provide details below to improve the information on MARY JO DRAKE.
| 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.