=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346187143
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHILDREN'S MERCY PEDIATRIC CARE NORTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2026
-----------------------------------------------------
Last Update Date | 04/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8781 N PLATTE PURCHASE DR
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64155-1829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-587-3200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8391 NW 316TH ST
-----------------------------------------------------
City | GOWER
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64454-8415
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-665-8427
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LACTATION CONSULTANT
-----------------------------------------------------
Name | KATIE WINKLER
-----------------------------------------------------
Credential | MSN, RN, IBCLC, CPN
-----------------------------------------------------
Telephone | 816-587-3200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------