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NPI 1912889783 · live from the CMS NPI Registry

Katie Breshears, PNP-PC

Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1912889783, active.

NPI record

NPI1912889783 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location2401 Gillham Rd, Kansas City, MO 64108
Practice phone816-234-3000
Mailing address2109 W 70th St, Mission Hills, KS 66208
EnumeratedJuly 23, 2025
Last updatedAugust 20, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X2025028122 (MO)
Nurse Practitioner, Pediatrics363LP0200X53-84896-091 (KS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.