ESRY STUDENT HEALTH CENTER MISSOURI WESTERN STATE
NPI 1962859090
Nurse Practitioner - Family in Saint Joseph, MO
NPI Status: Active since May 18, 2016
Contact Information
4525 DOWNS DR
BLUM UNION ROOM 203
SAINT JOSEPH, MO
ZIP 64507
Phone: (816) 271-4495
Fax: (816) 271-4496
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 26D0877997
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 03-02-2028
About ESRY STUDENT HEALTH CENTER MISSOURI WESTERN STATE
This page provides the complete NPI Profile along with additional information for Esry Student Health Center Missouri Western State, a provider established in Saint Joseph, Missouri operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1962859090 assigned on May 2016. The practitioner's primary taxonomy code is 363LF0000X with license number 138383 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. Esry Student Health Center Missouri Western State operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Elizabeth Roderick Fnp (Nurse Practictioner)
- NPI
- 1962859090
- Provider Name
- ESRY STUDENT HEALTH CENTER MISSOURI WESTERN STATE
- Entity Type
- Organization
- Location Address
- 4525 DOWNS DR BLUM UNION ROOM 203 SAINT JOSEPH, MO 64507
- Location Phone
- (816) 271-4495
- Location Fax
- (816) 271-4496
- Mailing Address
- 4525 DOWNS DR BLUM UNION ROOM 203 SAINT JOSEPH, MO 64507
- Mailing Phone
- (816) 271-4495
- Mailing Fax
- (816) 271-4496
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2016
- Last Update Date
- 05-18-2016
- Code Navigator
A nurse practitioner (NP) like Esry Student Health Center Missouri Western State 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 Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 138383
- License State
- MO
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1801099874 | OTHER (01) | MO | NP TYPE I NPI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0877997
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- March 03, 2026
- Certificate Expiration Date
- March 02, 2028
- Laboratory Director
- ELIZABETH RODERICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Esry Student Health Center Missouri Western State to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1962859090, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
SAINT JOSEPH, MO 64507
SAINT JOSEPH, MO 64507
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962859090, enumerated as an "organization" on May 18, 2016.
The provider is located at 4525 DOWNS DR BLUM UNION ROOM 203 SAINT JOSEPH, MO 64507 and the phone number is (816) 271-4495.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
