Healthcare Provider Details

I. General information

NPI: 1184564783
Provider Name (Legal Business Name): JOVITA O ECHERE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13013 FULLER AVE STE A
GRANDVIEW MO
64030-2687
US

IV. Provider business mailing address

400 E RED BRIDGE RD STE 105
KANSAS CITY MO
64131-4029
US

V. Phone/Fax

Practice location:
  • Phone: 816-214-5548
  • Fax:
Mailing address:
  • Phone: 281-704-6884
  • Fax: 281-704-6884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026014245
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: