Healthcare Provider Details

I. General information

NPI: 1912505371
Provider Name (Legal Business Name): ALEXYS M DIMAGGIO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXYS M TAYLOR

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

IV. Provider business mailing address

11009 N MATTOX CT
KANSAS CITY MO
64154-1831
US

V. Phone/Fax

Practice location:
  • Phone: 816-803-0080
  • Fax:
Mailing address:
  • Phone: 816-803-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2021038561
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number43-557836-041
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-136503-041
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: