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AMI L KOELLIKER AGNP-C NPI 1144880758


NPI Information

NPI: 1144880758
Provider Name: AMI L KOELLIKER, AGNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2790 CLAY EDWARDS DR STE 520
NORTH KANSAS CITY, MO
ZIP 64116
Phone: (816) 221-6750
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Ami L Koelliker, AGNP-C is a gerontology nurse practitioner in North Kansas City, MO with 5 years of experience. Ami L Koelliker, AGNP-C NPI is 1144880758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

2790 CLAY EDWARDS DR STE 520
NORTH KANSAS CITY, MO
ZIP 64116-274
Phone: (816) 221-6750
Fax: (816) 221-2335

The NPI 1144880758 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2019 and was last updated on 6/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363LG0600XNurse PractitionerGerontology2019021301MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.