Individual provider Active NPI

Audrey Lasley

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1083070973
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015034066 Issued in MO
Practice address
3515 Broadway Blvd
Kansas City, MO 64111-2537
Phone
(816) 753-5144
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015034066 MO Primary

Addresses

Primary practice location

3515 Broadway Blvd
Kansas City, MO 64111-2537

Mailing address

5626 Spring Ave
Kansas City, KS 66104-2029
Phone (913) 963-9448

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170103001507 MO Practitioner - Nurse Practitioner 4486935541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Care Clinic CurrentSince Nov 20, 2016 Accepting new patients
Kansas City Care Clinic CurrentSince Nov 20, 2016 Accepting new patients

Locations

3515 Broadway Blvd
Kansas City, MO 64111
Phone (816) 753-5144

2340 E Meyer Blvd
Ste 200
Kansas City, MO 64132
Phone (816) 753-5144

3501 Broadway Blvd
Kansas City, MO 64111
Phone (816) 723-7114

4601 Independence Ave
Kansas City, MO 64124
Phone (816) 241-6334

Interoperability endpoints

  • Direct secure messaging: audreyl@kansascitycareclinic.directbygreenway.com

Organizations & group practices 2

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1083070973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 SPRING AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661042029",
            "telephone_number": "913-963-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112537",
            "telephone_number": "816-753-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLEY",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015034066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.