Provider Demographics
NPI:1093709446
Name:RIEPE, KARIN E (RN, MSN, CS, FNP)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:E
Last Name:RIEPE
Suffix:
Gender:F
Credentials:RN, MSN, CS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 CLAY EDWARDS DR STE 240
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3254
Mailing Address - Country:US
Mailing Address - Phone:816-691-5287
Mailing Address - Fax:913-234-1108
Practice Address - Street 1:2700 CLAY EDWARDS DR STE 120
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3268
Practice Address - Country:US
Practice Address - Phone:816-346-7400
Practice Address - Fax:816-346-7104
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO093329163WE0003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
24880031OtherBCBS KC MO NON PAR #
P00129381OtherRR MEDICARE GROUP CD1534
MO425778313Medicaid
24880031OtherBCBS KC MO NON PAR #
MO678000006Medicare PIN