DEBBRA BERSANO (NPI# 1609835255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609835255 |
| Entity Type | Individual |
| Full Name | DEBBRA BERSANO |
| Credential | CNM |
| Practice Address |
7900 Lees Summit Rd Kansas City MO 64139-1236 |
| Mailing Address |
2310 Holmes St Ste 800 Kansas City MO 64108-2634 |
| Practice Telephone | 8164047000 |
| Mailing Telephone | 8162182500 |
| Mailing Fax Number | 8164217379 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 117508 | MO | Other Service Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
117508 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 254878614 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3450 Ne Ralph Powell Rd, Lees Summit, MO 640642361 | 8162467200 | |
| 1439 S Minter Way, Grain Valley, MO 640299648 | 8164046785 |
| Street Address |
7900 LEES SUMMIT RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64139-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746244 | Angela L Barnett | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2005-08-02 |
| 1770183493 | Kaitlyn Suzanne Lickteig | Counselor | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-10-30 |
| 1265059042 | Ryan Tyler Johnson | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-06-29 |
| 1184253676 | Tasfia Ahmed | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-06 |
| 1285263905 | Hai Song Kim | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-04 |
| 1003445990 | Matthew Timothy Myrick | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-03 |
| 1598393720 | Logan Christine Hemme | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1346878493 | Annette K Anwander | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1134757354 | Haley Marie Kertz | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
| 1689202707 | Desztini Howard | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1225122518 | Patricia A Cyrus | Nurse Practitioner | 7900 Lee's Summit Rd, Kansas City, MO 64139 | 2006-10-03 |
| 1831126358 | Megan Marie Despain | Emergency Medicine | 7900 Lee's Summit Road, Truman Medical Center Lakewood, Kansas City, MO 64139 | 2006-06-28 |
| 1427513878 | Kirsten Anne Reilly | Pediatrics | 7900 Lee's Summit Road, Department of Community and Family Medicine, Kansas City, MO 64139 | 2019-02-08 |
| 1275078552 | Elizabeth Liu | Family Medicine | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2016-12-22 |
| 1124355516 | Eric Tsai | Anesthesiology | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2009-11-06 |
| 1487290185 | Hannah E Waight | Registered Nurse | 14001 E 87th St, Kansas City, MO 64139-1117 | 2019-11-18 |
| 1275956658 | Gail Byers | Psychologist | 9701 Leslie Ave, Kansas City, MO 64139-1135 | 2014-01-21 |
| 1821533399 | Courageous Home Care, LLC | In Home Supportive Care | 9609 Hocker St, Kansas City, MO 64139-1150 | 2016-12-19 |
| 1144775834 | Candy Lourens | Dietitian, Registered | 7600 Lees Summit Rd, Kansas City, MO 64139-1233 | 2016-08-23 |
| Find all providers in zip 64139 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734840 | Shannon Rashelle Carter | Midwife | 4303 E 113th Ter, Kansas City, MO 64137-2450 | 2013-08-14 |
| 1801145065 | Nicole Greene | Midwife | 105 W 34th St, 2, Kansas City, MO 64111-1315 | 2012-09-04 |
| 1134149826 | Samantha Shea Petersen | Midwife | 930 Carondelet Dr Ste 300, Kansas City, MO 64114-4698 | 2006-07-19 |
| 1982168076 | Claudia Cornejo | Midwife | 2301 Holmes St, Kansas City, MO 64108-2640 | 2019-01-23 |
| 1053839225 | Sarah Jean Gill | Midwife | 2301 Holmes St, Kansas City, MO 64108-2640 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418221 | Andria Marie Webb | Midwife | 3228 Ivanhoe Ave, Saint Louis, MO 63139-2226 | 2020-08-18 |
| 1003436411 | Kelly L. Fournier | Midwife | 105 S Smalley St, Nixa, MO 65714-7829 | 2020-04-26 |
| 1558980102 | Kimberly Collins | Midwife | 300 Becca Dr, Rolla, MO 65401-8463 | 2020-04-14 |
| 1356976955 | Judith Fay Schmidt | Midwife | 26681 S 1725 Rd, Sheldon, MO 64784-7604 | 2020-03-04 |
| 1689227340 | Abigail Haguewood | Midwife | 14074 State Highway U, Mineral Point, MO 63660-9540 | 2019-07-22 |
| 1639722523 | Jean Mchenry | Midwife | 107 Prospect Place Dr, Lake St Louis, MO 63367-1829 | 2019-07-19 |
| 1629631338 | Rochelle Morgan | Midwife | 3231 S National Ave Ste 230, Springfield, MO 65807-7304 | 2019-04-18 |
| 1184189268 | Katherine Miller | Midwife | 7620 S Eagle Rd, Columbia, MO 65203-9036 | 2019-02-04 |
| 1578044400 | Jennifer M Jester | Midwife | 12201 Big Bend Rd, Kirkwood, MO 63122-6831 | 2018-08-28 |
| 1841790698 | Jessica Reighard | Midwife | 36 Saddle Ridge Rd, Clever, MO 65631-6836 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64139 |
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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.