Healthcare Provider Details

I. General information

NPI: 1619851938
Provider Name (Legal Business Name): JADE H GARCIA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST
KANSAS CITY KS
66160-8501
US

IV. Provider business mailing address

9009 WESTBROOKE DR
OVERLAND PARK KS
66212-4638
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 913-820-0977
  • Fax: 913-820-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number53-84582
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: