=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386725851
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA JOAN SIMPSON LD, RD, CDE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4401 WORNALL RD SAINT LUKE'S HOSPITAL OF KANSAS CITY
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64111-3220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-932-3866
-----------------------------------------------------
Fax | 816-932-5985
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 919 NW 110TH TER
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64155-7319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-734-5141
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | 2001018119
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------