Provider Demographics
NPI:1467407098
Name:CARTWRIGHT, CATHY C (APRN)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:C
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:LYNN
Other - Last Name:CONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3570
Mailing Address - Fax:
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO062627364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO463959OtherHEALTHLINK
MO148469OtherBLUE SHIELD
MO425366606Medicaid
MO148469OtherBLUE CHOICE
MO829735236Medicare PIN
MO148469OtherBLUE SHIELD
MO463959OtherHEALTHLINK
MO829731871Medicare PIN