Individual provider Active NPI

Janet G. Willoughby, B.S. IN O.T.

  • Case Manager/Care Coordinator
  • Overland Park, KS
National Provider Identifier
1114175361
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
17-00375 Issued in KS
Practice address
6400 Glenwood St
Overland Park, KS 66202-4016
Phone
(913) 432-2900
Fax
(913) 432-2901
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 17-00375 KS Primary

Addresses

Primary practice location

6400 Glenwood St
Overland Park, KS 66202-4016

Mailing address

8307 W 97TH Ter
Overland Park, KS 66212-3339
Phone (913) 649-9345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
17-00375KSMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1114175361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 W 97TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123339",
            "telephone_number": "913-649-9345",
            "fax_number": "913-432-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 GLENWOOD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024016",
            "telephone_number": "913-432-2900",
            "fax_number": "913-432-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "JANET",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "B.S. IN O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KS",
            "license": "17-00375",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 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.