DR. ANTONETTE CONSUELO ACOSTA-DICKSON (NPI# 1487625232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487625232 |
Entity Type | Individual |
Full Name | DR. ANTONETTE CONSUELO ACOSTA-DICKSON |
Other Name | ANTONETE CONSUELO ACOSTA |
Credential | MD |
Practice Address |
6450 N Chatham Ave Kansas City MO 64151 |
Mailing Address |
9411 N Oak Trfy Suite Ll1 Kansas City MO 64155-2262 |
Practice Telephone | 8167415542 |
Practice Fax Number | 8167464262 |
Mailing Telephone | 8164367072 |
Mailing Fax Number | 8164362743 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2013-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 2003017244 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS OF KC INDIVIDUAL # | 33205014 | 01 | |
RAILROAD MEDICARE | P00134132 | 01 |
Street Address |
6450 N CHATHAM AVE |
City | KANSAS CITY |
State | MO |
Zip Code | 64151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114904398 | Jay W Kimball | Family Medicine | 6450 N Chatham Ave, Kansas City, MO 64151 | 2005-12-28 |
1013207836 | Avery Thomas Abernathy | Family Medicine | 6450 N Chatham Ave, Kansas City, MO 64151-2403 | 2011-04-13 |
1497985337 | Meritas Health Corporation | Family Medicine | 6450 N Chatham Ave, Kansas City, MO 64151 | 2009-07-24 |
1205011079 | Cheryl Ann Bleier | Nurse Practitioner | 6450 N Chatham Ave, Kansas City, MO 64151-2403 | 2007-12-29 |
1275510455 | Sharon D Scott | Family Medicine | 6450 N Chatham Ave, Kansas City, MO 64151 | 2005-12-28 |
1518944792 | Bridgett A Cooper | Family Medicine | 6450 N Chatham Ave, Kansas City, MO 64151 | 2005-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
Find all providers in zip 64151 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356834774 | Lowell Fletcher | Family Medicine | Medical Office Building 2000 Olathe Blvc, Kansas City, KS 66160-0001 | 2018-06-11 |
1467943571 | Stopgap | Family Medicine | 202 Admiral Blvd, Kansas City, MO 64106-1504 | 2018-05-24 |
1376048876 | Eddy I Ndichie Jr. | Family Medicine | 7900 Lees Summit Rd Fl 3, Kansas City, MO 64139-1236 | 2018-03-27 |
1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
1639692098 | Partners In Primary Care Nc P C | Family Medicine | 301 E Armour Blvd Ste 2east, Kansas City, MO 64111-1245 | 2017-07-18 |
1740719749 | Alejandro Javier Montoya | Family Medicine | 2000 Ne Vivion Rd Ste 100, Kansas City, MO 64118-6127 | 2017-06-05 |
1689024382 | Christopher Hazen Short | Family Medicine | 2016 W 43rd Ave Ste A, Kansas City, KS 66103-3313 | 2016-06-14 |
1063889905 | Plaza Aesthetics & Wellness LLC | Family Medicine | 4806 Belleview Ave, Kansas City, MO 64112-1321 | 2015-08-26 |
1174904544 | Nathan L Boehr | Family Medicine | 5643 Locust St, Kansas City, MO 64110-2735 | 2015-06-11 |
1992107585 | Richard Cruz Ibarra | Family Medicine | 754 Pacific Ave, Kansas City, KS 66101-3714 | 2014-09-25 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64151 |
Please comment or provide details below to improve the information on DR. ANTONETTE CONSUELO ACOSTA-DICKSON.
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.