RADIANCE HEALTH & WELLNESS CLINIC MO-KS
NPI 1407633902
Nurse Practitioner - Psychiatric/Mental Health in Raytown, MO

NPI Status: Active since September 11, 2023

Contact Information

6225 RAYTOWN TRFY
RAYTOWN, MO
ZIP 64133
Phone: (816) 510-4549

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About RADIANCE HEALTH & WELLNESS CLINIC MO-KS

This page provides the complete NPI Profile along with additional information for Radiance Health & Wellness Clinic Mo-ks, a provider established in Raytown, Missouri operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1407633902 assigned on September 2023. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Amie Fabah Dnp (Dr Ezeogu)

NPI
1407633902
Provider Legal Name
RADIANCE HEALTH & WELLNESS CLINIC MO-KS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6225 RAYTOWN TRFY RAYTOWN, MO 64133
Location Phone
(816) 510-4549
Mailing Address
12641 ANTIOCH RD # 1053 OVERLAND PARK, KS 66213
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2023
Last Update Date
07-29-2025
Code Navigator

A nurse practitioner (NP) like Radiance Health & Wellness Clinic Mo-ks is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMIE FABAH DNP

Authorized Official Title
DR EZEOGU
Authorized Official Phone
(816) 510-4549

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407633902, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 2 + 3 + 6 + 9 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1407633902.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Sleep Medicine)
6225 RAYTOWN TRFY
RAYTOWN, MO 64133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407633902, enumerated as an "organization" on September 11, 2023.

The provider is located at 6225 RAYTOWN TRFY RAYTOWN, MO 64133 and the phone number is (816) 510-4549.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.