MEDICARE: ANNA OTIS RN

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	2024006121	MO

General Provider Information

NPI Number	:	1982342523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA OTIS RN

Provider Business Mailing Address
First Line	:	708 E 40TH ST APT 2
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-1104
Country	:	US
Telephone Number	:	520-909-4252
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 CAMBRIDGE ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-3413
Country	:	US
Telephone Number	:	520-909-4252
Fax Number	:

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

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	11/10/2025

Similar Medicare Providers

1881778975 — MRS. SANDRA GALE R.N.
Practice Location Address:

2980 BALTIMORE AVE
KANSAS CITY, MO
64108-3413

Practice Phone: 816-554-4293
Practice Fax:

1861579773 — MS. SHANNA BRENDE M.A., L.P.C.
Practice Location Address:

2980 BALTIMORE AVE
KANSAS CITY, MO
64108-3413

Practice Phone: 816-554-4287
Practice Fax:

1023019932 — KENNETH A STREET LPC
Practice Location Address:

3413 RAINBOW PKWY STE A
RAINBOW CITY, AL
35906-3234

Practice Phone: 256-490-6423
Practice Fax: 256-380-5857

1922091511 — DR. RALPH OSCAR SHADID M.D.
Practice Location Address:

4401 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3413

Practice Phone: 405-713-7403
Practice Fax: 405-713-2794

1104813203 — MS. KAREN EGESDAL D.PH
Practice Location Address:

4545 N LINCOLN BLVD
OKLAHOMA CITY, OK
73105-3413

Practice Phone: 405-522-7459
Practice Fax: 405-530-3390

1831170612 — DR. MARC DEAN NEW MD
Practice Location Address:

4401 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3413

Practice Phone: 405-552-0133
Practice Fax: 405-552-5122

Directions to “ ANNA OTIS RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.