Kristen Ayana Jacobs, MD
Pediatrics in North Kansas City, MO. Individual provider (NPI-1).
NPI number1124098280
StatusActive
Last updated in NPPESJul 30, 2007
Details
- NPI
- 1124098280
- Entity type
- Individual (NPI-1)
- Name
- Kristen Ayana Jacobs
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2006
- Last updated
- Jul 30, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 2003023205 | MO | Yes |
Practice location
2700 Clay Edwards DrSuite 500
North Kansas City, MO 64116-3251
Phone 816-421-4115 · Fax 816-421-4152
Mailing address
9411 N Oak TrfySuite Ll1
Kansas City, MO 64155-2262
Phone 816-436-7072 · Fax 816-436-2743
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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