Individual provider Active NPI

Marta Beshe

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1003379728
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019007959 Issued in MO
Practice address
5818 Theden St
Shawnee, KS 66218-9232
Phone
(913) 271-9429
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 78676 KS
Family Nurse Practitioner 363LF0000X 2019007959 MO Primary

Addresses

Primary practice location

5818 Theden St
Shawnee, KS 66218-9232

Mailing address

5818 Theden St
Shawnee, KS 66218-9232
Phone (913) 271-9429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190529000678 KS Practitioner - Nurse Practitioner 7719220193 Reassigns benefits to 1 organization
I20190529001379 MO Practitioner - Nurse Practitioner 7719220193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Life Care LLC Current Accepting new patients
Secure Ride LLC Current Accepting new patients
Guiding Light Telehealth Family Current Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince May 22, 2019 Accepting new patients
Research Neurology Associates LLC PastSince May 22, 2019 Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

4600 College Blvd
Ste 103
Overland Park, KS 66211

12802 Johnson Dr
Shawnee Mission, KS 66216
Phone (913) 203-1032

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

201 W Road Mize Rd
#D
Blue Springs, MO 64014
Phone (816) 228-5655

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1003379728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 THEDEN ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189232",
            "telephone_number": "913-271-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 THEDEN ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189232",
            "telephone_number": "913-271-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHE",
        "first_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78676",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019007959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.