Shamille Mack, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024012235 Issued in MO

Practice address

1001 Emanuel Cleaver II Blvd
Kansas City, MO 64110-1687

Phone

(816) 756-2277

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Planned Parenthood Great Plains

  • Women's Health Nurse Practitioner
  • Kansas City, MO
  • NPI 1679614838
  NPD (past)
• Comprehensive Health of Planned Parenthood Great Plains

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1336282573
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1013766864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 EMANUEL CLEAVER II BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101687",
            "telephone_number": "816-756-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EMANUEL CLEAVER II BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101687",
            "telephone_number": "816-756-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "SHAMILLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024012235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin K Mace, DDS
• Loretta Ann Macek, APRN, FNP
• Frances Louise Macey, LCSW
• Melissa Marie Macey, PTA
• Brittany Michele Mach, BCBA
• Andrea Michele Mackay
• Nicole Mackeben, PHARM.D.
• Colin Neil Mackenzie, M.D.
• Gorata Mackenzie
• Madison Mackeprang

• All providers in Kansas City, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.