MEDICARE: MRS. ELENA MARIE RAMSEY LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	19687	NE
2	251J00000X	Nursing Care Agency	2448329	KS
3	364S00000X	Clinical Nurse Specialist	2448329	KS
4	364SA2200X	Adult Health Clinical Nurse Specialist	19687	NE
5	364SH0200X	Home Health Clinical Nurse Specialist	19687	NE
6	164W00000X	Licensed Practical Nurse	24-48329	KS

General Provider Information

NPI Number	:	1730777269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELENA MARIE RAMSEY LPN

Provider Business Mailing Address
First Line	:	111 W 10TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1700
Country	:	US
Telephone Number	:	816-608-3605
Fax Number	:	816-608-3606

Provider Business Practice Location Address
First Line	:	2232 NW 82ND ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3713
Country	:	US
Telephone Number	:	816-535-0899
Fax Number	:	816-606-3606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2021
Last Update Date	:	12/29/2021

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