Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cockerell & McIntosh Pediatrics, PC

Organization Pediatric Nurse Practitioner · NPI 1629517107

Cockerell & McIntosh Pediatrics, PC is a Pediatric Nurse Practitioner in Blue Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 NW R D Mize Rd Ste 304
Blue Springs, MO 64014-2515
Phone: (816) 228-4770
Fax: (816) 228-1156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2016036885 (MO)

Record details

NPI number1629517107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Wood — Practice Administrator · (816) 228-4770
NPI enumeratedFebruary 17, 2017
Last updated in NPPESFebruary 17, 2017
Mailing address205 Nw R D Mize Rd, Ste 304, Blue Springs, MO 64014-2515

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