DIANE ELIZABETH RASH CPNP
Complete NPI Record 1134185622
Nurse Practitioner - Pediatrics in Kansas City, MO

NPI Status: Active since April 24, 2006

Contact Information

2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
Phone: (816) 234-3575

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Complete NPI Dataset

This page represents the complete record for NPI 1134185622. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1134185622
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Entity Type Code: 1
The city name in the location address of the provider being identified.
The State code in the location of the provider being identified.
Provider First Name: DIANE
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Middle Name: ELIZABETH
The country code in the location address of the provider being identified.
Provider Credential Text: CPNP
The telephone number associated with the location address of the provider being identified.
Provider First Line Business Mailing Address: 2524 SW KENWILL CT
The fax number associated with the location address of the provider being identified.
Provider Business Mailing Address City Name: LEES SUMMIT
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address State Name: MO
The date that a record was last updated or changed.
Provider Business Mailing Address Postal Code: 640821447
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Mailing Address Country Code If outside U S : US
The first name of the authorized official.
Provider Business Mailing Address Telephone Number: 8162461557
The title or position of the authorized official.
Provider First Line Business Practice Location Address: 2401 GILLHAM RD
The 10-position telephone number of the authorized official.
Provider Business Practice Location Address City Name: KANSAS CITY
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address State Name: MO
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 641084619
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8162343575
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Enumeration Date: 4/24/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/8/2007
The date that a record was last updated or changed.
Provider Gender Code: F
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Healthcare Provider Taxonomy Code 1: 363LP0200X
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider License Number 1: 103008
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: MO
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 1004155470A
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: KS
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No