Healthcare Provider Details

I. General information

NPI: 1013707215
Provider Name (Legal Business Name): POWERS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11117 N OAK TRFY
KANSAS CITY MO
64155-1167
US

IV. Provider business mailing address

11117 N OAK TRFY
KANSAS CITY MO
64155-1167
US

V. Phone/Fax

Practice location:
  • Phone: 816-797-9735
  • Fax: 816-207-0624
Mailing address:
  • Phone: 816-797-9735
  • Fax: 816-207-0624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MODESTINE RAE POWERS
Title or Position: PROVIDER
Credential: FNP-BC
Phone: 816-406-8812