Healthcare Provider Details

I. General information

NPI: 1679401327
Provider Name (Legal Business Name): EVEREST PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 NW 64TH TER STE 203
KANSAS CITY MO
64151-3980
US

IV. Provider business mailing address

5775 NW 64TH TER STE 203
KANSAS CITY MO
64151-3980
US

V. Phone/Fax

Practice location:
  • Phone: 816-371-8677
  • Fax:
Mailing address:
  • Phone: 816-371-8677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS ANN BRUER
Title or Position: FOUNDER
Credential: APRN, FNP-C
Phone: 816-371-8677