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 provides Pediatric Nurse Practitioner services 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
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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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