MEDICARE: DEMI DOWNS

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	163W00000X	Registered Nurse	2021024849	MO

General Provider Information

NPI Number	:	1801742812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEMI DOWNS

Provider Business Mailing Address
First Line	:	153 SW LAUREL DR
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-7849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 NE RALPH POWELL RD STE B
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64064-2369
Country	:	US
Telephone Number	:	816-272-0174
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ DEMI DOWNS ” Practice Location

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