=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437042355
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAYLOR YURIKO AKAGI CRNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/30/2025
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4901 COLLEGE BLVD
-----------------------------------------------------
City | LEAWOOD
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66211-1602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-721-3387
-----------------------------------------------------
Fax | 816-875-2597
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5101 COLLEGE BLVD
-----------------------------------------------------
City | LEAWOOD
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66211-1614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-478-4200
-----------------------------------------------------
Fax | 816-875-2597
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 43-558283-112
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------