Provider Demographics
NPI:1740236678
Name:VANSCOY, REBECCA J (RN, BC, ANP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:J
Last Name:VANSCOY
Suffix:
Gender:F
Credentials:RN, BC, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E. 104TH ST
Mailing Address - Street 2:MAILSTOP 400N
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-9712
Mailing Address - Country:US
Mailing Address - Phone:816-502-8752
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:4321 WASHINGTON ST STE 6000
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5930
Practice Address - Country:US
Practice Address - Phone:816-756-2255
Practice Address - Fax:816-931-4080
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO128693363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA1724034Medicare PIN
P62359Medicare UPIN
MOMA2491017Medicare PIN
KSKA2004034Medicare PIN
MOMA2492017Medicare PIN
MOMA2491017Medicare PIN
MOP00836075OtherRAILROAD MEDICARE
MOMA2492017Medicare PIN
KSKA2004034Medicare PIN
KS200316740CMedicaid