Healthcare Provider Details

I. General information

NPI: 1346456670
Provider Name (Legal Business Name): MICHELLE ANN SHIPLEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 STATE LINE RD STE 300
KANSAS CITY MO
64114-3212
US

IV. Provider business mailing address

9001 STATE LINE RD STE 300
KANSAS CITY MO
64114-3212
US

V. Phone/Fax

Practice location:
  • Phone: 816-363-2600
  • Fax: 816-523-0068
Mailing address:
  • Phone: 816-363-2600
  • Fax: 816-523-0068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2026036423
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-45749-102
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: