Healthcare Provider Details

I. General information

NPI: 1588770374
Provider Name (Legal Business Name): JAMI LOUISE SCHMIDESKAMP ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE LOUISE EILERT ARNP

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9229 WARD PKWY STE 380
KANSAS CITY MO
64114-5471
US

IV. Provider business mailing address

11107 W 114TH TER
OVERLAND PARK KS
66210-3409
US

V. Phone/Fax

Practice location:
  • Phone: 816-319-4785
  • Fax:
Mailing address:
  • Phone: 913-549-3542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13-76053-032
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45958
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: