Provider Demographics
NPI:1073350880
Name:PIKE HEALTH SOLUTIONS
Entity type:Organization
Organization Name:PIKE HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC MENTAL HEALTH NP
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C, PMHNP
Authorized Official - Phone:816-273-9105
Mailing Address - Street 1:7401 WHITSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-7721
Mailing Address - Country:US
Mailing Address - Phone:816-273-9105
Mailing Address - Fax:816-294-0660
Practice Address - Street 1:7401 WHITSON RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-7721
Practice Address - Country:US
Practice Address - Phone:816-273-9105
Practice Address - Fax:816-294-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty