Organization Active NPI

Kansas Aprn Services, LLC

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1053742643
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13-87373-111 Issued in KS
Legal business name
KANSAS APRN SERVICES, LLC
Practice address
17985 S Lone Elm Rd
Olathe, KS 66062-9253
Phone
(816) 500-0487
NPI assigned
Dec 6, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Lance A Vickery, APRNNPI 1801101613
Title
Owner
Phone
(816) 500-0487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 13-87373-111 KS Primary

Addresses

Primary practice location

17985 S Lone Elm Rd
Olathe, KS 66062-9253

Mailing address

17985 S Lone Elm Rd
Olathe, KS 66062-9253
Phone (816) 500-0487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140311001369 KS Part B Supplier - Clinic/Group Practice 1850521915 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS; Paola, KS; Topeka, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1053742643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17985 S LONE ELM RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629253",
            "telephone_number": "816-500-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17985 S LONE ELM RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629253",
            "telephone_number": "816-500-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS APRN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-500-0487",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "13-87373-111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.