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VICTORIA FAGAN PARK FNP
NPI 1235393364
Nurse Practitioner - Family in Kansas City, MO

Active since July 17, 2008
6400 PROSPECT AVE, STE 310, KANSAS CITY, MO 64132(816) 926-0777(816) 926-0707 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victoria Fagan Park Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA FAGAN PARK FNP (NPI 1235393364) is an individual family provider in Kansas City, Missouri, licensed in Missouri (091076) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1235393364
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICTORIA FAGAN PARKCredential: FNP
Location Address6400 PROSPECT AVE, STE 310Kansas City, MO 64132-1100
Mailing AddressPo Box 801606Kansas City, MO 64180-1606 · (913) 234-1350 · Fax (913) 234-1108
Phone(816) 926-0777
Fax(816) 926-0707
Sole ProprietorNo
Enumeration DateJuly 17, 2008
Last NPPES UpdateSeptember 15, 2008
✔ NPI 1235393364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 091076
Also ListedRegistered NurseTaxonomy 163W00000X · License 091076 (MO)
6400 PROSPECT AVE, Kansas City, MO 64132
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Other Names 1

Former Name (1)Victoria Ann Fagan

Other Identifiers 1

Medicare PINK22000001KS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESEARCH OPTICAL SERVICE, INC.
Eyewear Supplier
6400 PROSPECT AVE, RESEARCH MEDICAL BLDG. SUITE 398
KANSAS CITY, MO 64132
Jackson County (816) 444-9646
MARIA L HAPKE WHNP
Nurse Practitioner (Women's Health)
6400 PROSPECT AVE, SUITE 598
KANSAS CITY, MO 64132
Jackson County (816) 444-6888
RUSSELL E TACKETT MDPC
Urology
6400 PROSPECT AVE, SUITE 440
KANSAS CITY, MO 64132
Jackson County (816) 361-0277
DR. JACKIE WAYNE TENNEY MD
Pediatrics
6400 PROSPECT AVE, SUITE 646
KANSAS CITY, MO 64132
Jackson County (816) 444-8400
REGINALD W HALL MD
Family Medicine
6400 PROSPECT AVE, SUITE 640
KANSAS CITY, MO 64132
Jackson County (816) 523-7000
DR. ROBERT L ELKINS MD
Specialist
6400 PROSPECT AVE, SUITE 228
KANSAS CITY, MO 64132
Jackson County (816) 444-5525
REBECCA SUE JOHNSON MD
Obstetrics & Gynecology
6400 PROSPECT AVE, #598
KANSAS CITY, MO 64132
Jackson County (816) 444-6888
RMC TRANSPLANT PHYSICIANS LLC
Transplant Surgery
6400 PROSPECT AVE, SUITE 646
KANSAS CITY, MO 64132
Jackson County (816) 822-8257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Park's NPI number?

The NPI number for Victoria Park is 1235393364. It was assigned to this individual provider in the NPPES registry on July 17, 2008. The provider is also known as Victoria Ann Fagan.

Where is Victoria Park located?

Victoria Park practices at 6400 Prospect Ave Ste 310, Kansas City, MO 64132. The listed phone number is (816) 926-0777.

What is Victoria Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Victoria Park was last updated on September 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.