Provider Demographics
NPI:1194192559
Name:FEIDEN, DARCI L (FNP)
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:L
Last Name:FEIDEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DARCI
Other - Middle Name:L
Other - Last Name:ADCOCK-DYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 RUNNING HORSE ROAD
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-4954
Mailing Address - Country:US
Mailing Address - Phone:816-858-2200
Mailing Address - Fax:816-858-3611
Practice Address - Street 1:2600 RUNNING HORSE ROAD
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-4954
Practice Address - Country:US
Practice Address - Phone:816-858-2200
Practice Address - Fax:816-858-3611
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015028249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1194192559Medicaid
MO1194192559Medicaid
F29A00058Medicare Oscar/Certification
N66000028Medicare Oscar/Certification