MEDICARE: MS. KAREN S PARKER RN ARNP CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	076500	MO
2	367500000X	Certified Registered Nurse Anesthetist	076500	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00368179	OTHER	MO	RAILROAD MEDICARE
6	P01230556	OTHER	KS	RAILROAD MEDICARE
8	P00365455	OTHER	KS	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10001568701	OTHER	MO	COMMUNITY HEALTH PLAN
2	5717143	OTHER		FIRST HEALTH
4	145352	OTHER	KS	BLUE CROSS BLUE SHIELD KS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	18809093	OTHER	MO	BLUE CROSS BLUE SHIELD KC
9	6244	OTHER	KS	PREFERRED HEALTH SYSTEMS
10	66048A014	OTHER		TRICARE WPS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790769909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN S PARKER RN ARNP CRNA

Provider Business Mailing Address
First Line	:	1701 S 45TH ST
Second Line	:	SUITE A
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2527
Country	:	US
Telephone Number	:	913-721-3641
Fax Number	:	913-721-3649

Provider Business Practice Location Address
First Line	:	1701 S 45TH ST
Second Line	:	SUITE A
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2527
Country	:	US
Telephone Number	:	913-721-3641
Fax Number	:	913-721-3649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	03/06/2017

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