JKV PROVIDER SERVICES
NPI 1609118702
Nurse Practitioner in Lees Summit, MO

Q: What is John Knox Village's NPI number?

The NPI number for John Knox Village is 1609118702. It was assigned to this organization in the NPPES registry on March 27, 2013. The provider is doing business as Jkv Provider Services.

Q: What is John Knox Village's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for John Knox Village was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 March 27, 2013

600 NW PRYOR RD, LEES SUMMIT, MO 64081(913) 642-4900(913) 381-0979 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jkv Provider Services NPPES

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

JKV PROVIDER SERVICES (NPI 1609118702) is a healthcare organization registered as a nurse practitioner in Lees Summit, Missouri and active in the NPI registry since March 2013. The organization lists Rodney Mcbride, Vp - Health & Resident Services, as its authorized official.

NPPES Registry Identity

NPI1609118702

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameJOHN KNOX VILLAGE

Location Address600 NW PRYOR RDLees Summit, MO 64081-1104

Mailing AddressPo Box 25010Overland Park, KS 66225-5010 · (913) 642-4900 · Fax (913) 381-0979

Phone(913) 642-4900

Fax(913) 381-0979

Organization SubpartNo

Authorized OfficialRodney McbrideVp - Health & Resident Services · (816) 347-2030

Enumeration DateMarch 27, 2013

✔ NPI 1609118702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2011034116

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

600 NW PRYOR RD, Lees Summit, MO 64081

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Other Names 1

Doing Business AsJkv Provider Services

Other Identifiers 3

Medicaid200674690BKS

Medicare PINMA4183MO

OtherDT2931MO · Rr

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 18

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

JOHN KNOX VILLAGE

Skilled Nursing Facility