Provider Demographics
NPI:1427090687
Name:BARTA, KAYLA J (RN, BC, ANP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:J
Last Name:BARTA
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 1:4330 WORNALL RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5939
Mailing Address - Country:US
Mailing Address - Phone:816-931-1883
Mailing Address - Fax:816-756-3645
Practice Address - Street 1:4330 WORNALL RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5939
Practice Address - Country:US
Practice Address - Phone:816-931-1883
Practice Address - Fax:816-756-3645
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO155688363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP00842708OtherRAILROAD MEDICARE
KS200304940DMedicaid
MOP00836124OtherRAILROAD MEDICARE
KS200304940EMedicaid
MO1427090687Medicaid
MOMA2492005Medicare PIN
KSKA1724040Medicare PIN
KSP00842708OtherRAILROAD MEDICARE
P22452Medicare UPIN
MO1427090687Medicaid