Provider Demographics
NPI:1386725851
Name:SIMPSON, BARBARA JOAN (LD, RD, CDE)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JOAN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LD, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 NW 110TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-7319
Mailing Address - Country:US
Mailing Address - Phone:816-734-5141
Mailing Address - Fax:
Practice Address - Street 1:4401 WORNALL RD
Practice Address - Street 2:SAINT LUKE'S HOSPITAL OF KANSAS CITY
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3220
Practice Address - Country:US
Practice Address - Phone:816-932-3866
Practice Address - Fax:816-932-5985
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001018119133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF06B858BMedicare ID - Type UnspecifiedPROVIDER NUMBER