Healthcare Provider Details

I. General information

NPI: 1043297252
Provider Name (Legal Business Name): RICK DANIEL DOWNEY C.R.N.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19600 E 39TH ST S
INDEPENDENCE MO
64057-2301
US

IV. Provider business mailing address

8717 W 110TH ST BLDG 14
OVERLAND PARK KS
66210-2144
US

V. Phone/Fax

Practice location:
  • Phone: 816-698-8433
  • Fax:
Mailing address:
  • Phone: 913-428-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2001021180
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: