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

Q: What is Radiance Health & Wellness Clinic Mo-Ks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 11, 2023

6225 RAYTOWN TRFY, RAYTOWN, MO 64133(816) 510-4549 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Radiance Health & Wellness Clinic Mo-ks NPPES

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

RADIANCE HEALTH & WELLNESS CLINIC MO-KS (NPI 1407633902), doing business as Radiance Health & Wellness, is a healthcare organization registered as a psychiatric/mental health in Raytown, Missouri and active in the NPI registry since September 2023. The organization lists Amie Fabah, Dr Ezeogu, as its authorized official.

NPPES Registry Identity

NPI1407633902

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameRADIANCE HEALTH & WELLNESS CLINIC MO-KS

Location Address6225 RAYTOWN TRFYRaytown, MO 64133-3846

Mailing Address12641 Antioch Rd # 1053Overland Park, KS 66213-1701

Phone(816) 510-4549

Organization SubpartNo

Authorized OfficialAmie FabahDr Ezeogu · (816) 510-4549

Enumeration DateSeptember 11, 2023

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1407633902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

6225 RAYTOWN TRFY, Raytown, MO 64133

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Other Names 1

Doing Business AsRadiance Health & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TAPAN K. CHAUDHRI, MD

Internal Medicine (Sleep Medicine)

6225 RAYTOWN TRFY
RAYTOWN, MO 64133

Jackson County (816) 353-2400

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 Radiance Health & Wellness Clinic Mo-Ks's NPI number?

The NPI number for Radiance Health & Wellness Clinic Mo-Ks is 1407633902. It was assigned to this organization in the NPPES registry on September 11, 2023. The provider is doing business as Radiance Health & Wellness.

Where is Radiance Health & Wellness Clinic Mo-Ks located?

Radiance Health & Wellness Clinic Mo-Ks is located at 6225 Raytown Trfy, Raytown, MO 64133. The listed phone number is (816) 510-4549.

What is Radiance Health & Wellness Clinic Mo-Ks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Radiance Health & Wellness Clinic Mo-Ks was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.