Healthcare Provider Details

I. General information

NPI: 1144150202
Provider Name (Legal Business Name): SAMANTHA FARRELL BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5830 NW BARRY RD
KANSAS CITY MO
64154-2778
US

IV. Provider business mailing address

421 NW BRIARCLIFF CT
KANSAS CITY MO
64116-1665
US

V. Phone/Fax

Practice location:
  • Phone: 816-891-6000
  • Fax:
Mailing address:
  • Phone: 843-330-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: