Active NPI
Audrey Lasley
- Family Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015034066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Care Clinic | Current | Accepting new patients | |
| Kansas City Care Clinic | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1215273388
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1437897774
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.