Healthcare Provider Details

I. General information

NPI: 1346187143
Provider Name (Legal Business Name): CHILDREN'S MERCY PEDIATRIC CARE NORTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8781 N PLATTE PURCHASE DR
KANSAS CITY MO
64155-1829
US

IV. Provider business mailing address

8391 NW 316TH ST
GOWER MO
64454-8415
US

V. Phone/Fax

Practice location:
  • Phone: 816-587-3200
  • Fax:
Mailing address:
  • Phone: 816-665-8427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: KATIE WINKLER
Title or Position: LACTATION CONSULTANT
Credential: MSN, RN, IBCLC, CPN
Phone: 816-587-3200