Provider Demographics
NPI:1386602233
Name:RITCHIE, DEBRA K (APRN)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:K
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:500 N KEENE ST
Practice Address - Street 2:SUITE 306
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8105
Practice Address - Country:US
Practice Address - Phone:573-817-3165
Practice Address - Fax:573-875-9260
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN083568363L00000X
MO083568363LG0600X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO500015455OtherRR MEDICARE
MO426929402Medicaid
MOP00415744OtherRAILROAD MEDICARE
MO046011109Medicare PIN
MOP00415744OtherRAILROAD MEDICARE
MO834105236Medicare PIN