Radiance Health & Wellness Clinic Mo-Ks
NPI 1407633902 · Psychiatric/Mental Health Nurse Practitioner · Raytown, MO
Radiance Health & Wellness Clinic Mo-Ks is a Psychiatric/Mental Health Nurse Practitioner organization in Raytown, MO (NPI 1407633902).
Provider details
- NPI number
- 1407633902
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Amie Fabah, Dr Ezeogu(816) 510-4549
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Radiance Health & Wellness
- Doing business as
- Radiance Health & Wellness
Registry dates
- Enumerated
- 2023-09-11
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Frequently asked questions
- What is Radiance Health & Wellness Clinic Mo-Ks's NPI number?
- Radiance Health & Wellness Clinic Mo-Ks's National Provider Identifier (NPI) is 1407633902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiance Health & Wellness Clinic Mo-Ks?
- Radiance Health & Wellness Clinic Mo-Ks is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Radiance Health & Wellness Clinic Mo-Ks located?
- Radiance Health & Wellness Clinic Mo-Ks's practice location on file with NPPES is 6225 Raytown Trfy, Raytown, MO 64133-3846.
- What is Radiance Health & Wellness Clinic Mo-Ks's phone number?
- The practice phone number listed in the NPPES registry for Radiance Health & Wellness Clinic Mo-Ks is (816) 510-4549.
- Who is the authorized official for Radiance Health & Wellness Clinic Mo-Ks?
- The authorized official listed on Radiance Health & Wellness Clinic Mo-Ks's NPPES record is Amie Fabah, Dr Ezeogu. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiance Health & Wellness Clinic Mo-Ks's NPI active?
- Yes — Radiance Health & Wellness Clinic Mo-Ks's NPI (1407633902) is active in the NPPES registry as of the last update on 2025-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.