Healthcare Provider Details

I. General information

NPI: 1194068882
Provider Name (Legal Business Name): REBECCA NICOLETTE VERHAEGHE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 QUIVIRA RD
OVERLAND PARK KS
66215-2306
US

IV. Provider business mailing address

11600 COLLEGE BLVD STE 201
OVERLAND PARK KS
66210
US

V. Phone/Fax

Practice location:
  • Phone: 913-310-0225
  • Fax: 913-310-0565
Mailing address:
  • Phone: 913-310-0225
  • Fax: 913-310-0565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number05-41899
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2016026401
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: