Individual provider Active NPI

Kathy Ayers, F.N.P.

  • Nurse Practitioner
  • Kirksville, MO
National Provider Identifier
1083695829
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
093548 Issued in MO
Practice address
800 W Jefferson St
Kirksville, MO 63501-1443
Phone
(662) 626-2235
Fax
(660) 626-2090
NPI assigned
Nov 9, 2005
Last updated
Aug 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 093548 MO Primary

Addresses

Primary practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Mailing address

PO Box 504499
Saint Louis, MO 63150-0001
Phone (660) 626-2235

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
I20070801000445 MO Practitioner - Nurse Practitioner 8123926961 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
093548MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam County Memorial Hospital CurrentSince Jan 2, 2015 Accepting new patients
Putnam County Memorial Hospital Current Accepting new patients
Academic Medicine Past Accepting new patients
Kirksville Missouri Hospital Company LLC Past Accepting new patients
Kirksville Academic Medicine LLC Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1926 Oak St
Unionville, MO 63565
Phone (660) 785-1834

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/putnamm-2b5c1bdb

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1083695829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504499",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "660-626-2235",
            "fax_number": "660-626-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "662-626-2235",
            "fax_number": "660-626-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "KATHY",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "093548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.