Individual provider Active NPI

Annah C Sybouts, FNP-C

  • Family Nurse Practitioner
  • Kearney, MO
National Provider Identifier
1083126569
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017032436 Issued in MO
Practice address
305 S Platte Clay Way
Kearney, MO 64060
Phone
(816) 628-4409
NPI assigned
Oct 24, 2017
Last updated
Jul 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2019

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 2017032436 MO Primary

Addresses

Primary practice location

305 S Platte Clay Way
Kearney, MO 64060

Mailing address

305 S Platte Clay Way
Kearney, MO 64060-8214
Phone (816) 628-4409

Other practice location 1

10631 N Wallace Ave
Kansas City, MO 64157-1026
Phone (417) 496-2215

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
I20180214001942 MO Practitioner - Nurse Practitioner 2466712336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

305 S Platte Clay Way
The Kearney Clinic
Kearney, MO 64060-8214
Phone (816) 628-4409

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017032436MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Apr 1, 2019 Accepting new patients
Liberty Hospital Urgent Care, LLC CurrentSince Apr 16, 2020 Accepting new patients
New Liberty Hospital Corporation CurrentSince Apr 1, 2019 Accepting new patients
New Liberty Hospital Corporation PastSince Apr 16, 2020 Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients

Locations

8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

305 S Platte Clay Way
Ste A
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: annah.syboutsfnp.p11@direct.nlhc.nextgenshare.com
  • Direct secure messaging: annah.syboutsfnp.p3@direct.nlhc.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1083126569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S PLATTE CLAY WAY",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608214",
            "telephone_number": "816-628-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S PLATTE CLAY WAY",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "64060",
            "telephone_number": "816-628-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10631 N Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641571026",
            "country_code": "US",
            "telephone_number": "417-496-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYBOUTS",
        "first_name": "ANNAH",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017032436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, MO

Sources for this page

Verify at the official NPI Registry.