Organization Active NPI

Blue Valley Women'S Care

  • Clinic/Center
  • Overland Park, KS
National Provider Identifier
1104958537
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
04-26209 Issued in KS
Legal business name
BLUE VALLEY WOMEN'S CARE
Practice address
9375 West 75TH Street
Overland Park, KS 66204
Phone
(913) 642-7000
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Janetta C. Proverbs, M.D.
Title
President
Phone
(913) 642-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 04-26209 KS Primary

Addresses

Primary practice location

9375 West 75TH Street
Overland Park, KS 66204

Mailing address

9375 West 75TH Street
Overland Park, KS 66204
Phone (913) 642-7000

Other identifiers 1

IdentifierTypeStateIssuer
36327018OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

9375 W 75th St
Overland Park, KS 66204
Phone (913) 642-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1104958537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 WEST 75TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-642-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 WEST 75TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-642-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY WOMEN'S CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "PROVERBS",
        "authorized_official_first_name": "JANETTA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-642-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "04-26209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36327018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.