Healthcare Provider Details

I. General information

NPI: 1023959426
Provider Name (Legal Business Name): ALLISON LEIGH PISCIOTTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16659 E 23RD ST S
INDEPENDENCE MO
64055-1922
US

IV. Provider business mailing address

PO BOX 740019
ATLANTA GA
30374-0019
US

V. Phone/Fax

Practice location:
  • Phone: 816-688-6000
  • Fax: 816-631-1885
Mailing address:
  • Phone: 833-804-1695
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026028087
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: