Healthcare Provider Details

I. General information

NPI: 1871257717
Provider Name (Legal Business Name): ALAINA LEE HART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALAINA LEE COLLEY

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 NE RALPH POWELL RD
LEES SUMMIT MO
64064-2368
US

IV. Provider business mailing address

3330 NE RALPH POWELL RD
LEES SUMMIT MO
64064-2368
US

V. Phone/Fax

Practice location:
  • Phone: 816-819-5791
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2021041803
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: