MATTHEW PETTIT FNP-BC
NPI 1295209575
Nurse Practitioner - Family in Kansas City, MO

Q: What is Matthew Pettit's NPI number?

The NPI number for Matthew Pettit is 1295209575. It was assigned to this individual provider in the NPPES registry on January 19, 2019.

Q: What is Matthew Pettit's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Pettit was last updated on January 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2019

3000 NW 62ND TER, KANSAS CITY, MO 64151(816) 363-9326 Get Directions Write a Review

NPPES record last updated: January 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Matthew Pettit Fnp-bc NPPES

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

MATTHEW PETTIT FNP-BC (NPI 1295209575) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2002013493) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1295209575

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMATTHEW PETTITCredential: FNP-BC

Location Address3000 NW 62ND TERKansas City, MO 64151-7813

Mailing Address3000 Nw 62nd TerKansas City, MO 64151-7813 · (816) 363-9326

Phone(816) 363-9326

Sole ProprietorYes

Enumeration DateJanuary 19, 2019

✔ NPI 1295209575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2002013493

3000 NW 62ND TER, Kansas City, MO 64151

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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 Matthew Pettit's NPI number?

The NPI number for Matthew Pettit is 1295209575. It was assigned to this individual provider in the NPPES registry on January 19, 2019.

Where is Matthew Pettit located?

Matthew Pettit practices at 3000 NW 62nd Ter, Kansas City, MO 64151. The listed phone number is (816) 363-9326.

What is Matthew Pettit'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 Matthew Pettit was last updated on January 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.