Jayhawk Primary Care Inc
Jayhawk Primary Care Inc is a healthcare organization registered as Family Medicine Physician in Gladstone, MO, holding Type 2 (organization) NPI 1417919283 since 2006. The authorized official on file is Carrie Jordan, Chief Practice Executive.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1417919283 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jayhawk Primary Care Inc |
| Other name | <Unavail> |
| Parent organization | Jayhawk Primary Care Inc |
| Practice address | 6420 N PROSPECT AVE, Gladstone, MO, 64119 |
| Phone | 9139459700 |
| Fax | 9139459707 |
| Enumeration date | 2006-04-05 |
| Last updated in NPPES | 2018-06-13 |
Authorized official
| Name | Carrie Jordan |
|---|---|
| Title | Chief Practice Executive |
| Phone | 9139455592 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10663011 | Other | MO | BCBS GROUP NUMBR |
Copy-ready billing details
Provider: Jayhawk Primary Care Inc NPI: 1417919283 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 6420 N PROSPECT AVE, Gladstone, MO, 64119
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538107602 | Christina Panis Miller | Individual | Physician Assistant | Gladstone, MO |
| 1871538074 | Robert Drogan | Individual | Family Medicine Physician | Gladstone, MO |
| 1821024688 | Kerri Keberlein-Lynn | Individual | Nurse Practitioner | Gladstone, MO |
| 1174559942 | Robert Dattilio | Individual | Family Medicine Physician | Gladstone, MO |
| 1407932585 | Diana Rodenberg | Individual | Registered Dietitian | Gladstone, MO |
| 1568583953 | Jayhawk Primary Care Inc | Organization | Urgent Care Clinic/Center | Gladstone, MO |
| 1376808022 | Jessica Shelton-Treece | Individual | Family Medicine Physician | Gladstone, MO |
| 1235576752 | Justin Lawing | Individual | Family Medicine Physician | Gladstone, MO |
Verify this record
Cross-check NPI 1417919283 against the authoritative CMS record: view Jayhawk Primary Care Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Jayhawk Primary Care Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-13.