KASANDRA BEARDEN (NPI# 1447413042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447413042 |
| Entity Type | Individual |
| Full Name | KASANDRA BEARDEN |
| Practice Address |
2464 Charlotte St Kansas City MO 64108-2718 |
| Mailing Address |
5906 89th St Lubbock TX 79424-4598 |
| Practice Telephone | 8162351700 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
685752 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2464 CHARLOTTE ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664690 | Renee Endicott | Nurse Practitioner | 2464 Charlotte St, Kansas City, MO 64108-2718 | 2005-10-21 |
| 1609350305 | Kristina Joyce Mitchell | Nurse Practitioner | 2464 Charlotte St, Kansas City, MO 64108-2718 | 2018-09-18 |
| 1649630393 | Kylie Nicole Barnes | Pharmacist | 2464 Charlotte St, Suite 4250, Kansas City, MO 64108-2718 | 2016-02-23 |
| 1356601595 | Morgan Leigh Sperry | Pharmacist | 2464 Charlotte St, Room 1220, Kansas City, MO 64108-2718 | 2012-05-22 |
| 1710114012 | Patricia Ann Marken | Pharmacist | 2464 Charlotte St, Kansas City, MO 64108-2718 | 2009-06-15 |
| 1679729099 | Andrew J Smith | Pharmacist | 2464 Charlotte St, Hsb 4242, Kansas City, MO 64108-2718 | 2008-08-18 |
| 1194990564 | Heather A Pace | Pharmacist | 2464 Charlotte St, #1227, Kansas City, MO 64108-2718 | 2008-04-28 |
| 1124293592 | Melita Diane Croom | Pharmacist | 2464 Charlotte St, 1220, Kansas City, MO 64108-2718 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365303 | Amber Karst | Nurse Practitioner | 4000 Cambridge St Unit 55-neonatal Intensive Care Unit, Kansas City, KS 66160-0001 | 2018-05-08 |
| 1346464708 | Souvenir Culanculan Rivera | Nurse Practitioner | Providence Medical Center, 8929 Parallel Parkway, Kansas City, KS 66112 | 2007-04-13 |
| 1457967606 | Jennifer Coil | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-22 |
| 1396359923 | Kelli Nicole Ayars | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1740892504 | Katlyn Kelley | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-21 |
| 1528670759 | Sarah Carstensen | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-19 |
| 1053920876 | Christina S Weber | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-28 |
| 1881233856 | Doris Franky Martis | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2019-12-23 |
| 1093365660 | Amelia Lee Gute | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2019-09-16 |
| 1174181994 | Brittany Nicole Bright | Nurse Practitioner | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2019-06-05 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on KASANDRA BEARDEN.
| 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.