Dylan Trent Severson, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-81411-011 Issued in KS

Practice address

340 Southwest Blvd
Kansas City, KS 66103-2150

Phone

(913) 722-3100

Fax

(913) 722-2542

NPI assigned

Jul 29, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Turner House Clinic IncGroup PAC ID 9739447921, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDDEBA

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

• Turner House Clinic Inc

  dba Vibrant Health

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1609380401
  Medicare reassignment Care Compare group NPD
• Turner House Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1285369355
  NPD
• Turner House Clinic, Inc

  dba Turner House Children's Clinic

  • Pediatrics Physician
  • Kansas City, KS
  • NPI 1639241029
  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1003542127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 N SPRUCE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192833",
            "telephone_number": "316-305-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SOUTHWEST BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032150",
            "telephone_number": "913-722-3100",
            "fax_number": "913-722-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5212 N Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641192833",
            "country_code": "US",
            "telephone_number": "316-305-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "DYLAN",
        "middle_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022022667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81411-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Life Resource Center Inc
• John D Serfas, MD
• Erasmo I Serrano, MD
• Lonell Servos
• Alexandra Kristen Serzyski, LMSW
• Kelsey Kay Sewell, PHD
• Jennifer Anne Seymour, A.R.N.P.
• Brett Ryan Shaffer
• Regan Shaffer, PA-C
• Muhammad Shafiq, M.D.

• Family Nurse Practitioner in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.