Individual provider Active NPI

Sally A Jennings, APRN

  • Critical Care Neonatal Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1114289840
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
75698 Issued in KS
Practice address
11600 College Blvd Ste 201
Overland Park, KS 66210-2786
Phone
(913) 310-0225
Fax
(913) 310-0565
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13103396102 KS
Nurse Practitioner 363L00000X 75698 KS
Critical Care Neonatal Nurse Practitioner 363LN0005X 75698 KS Primary

Addresses

Primary practice location

11600 College Blvd Ste 201
Overland Park, KS 66210-2786

Mailing address

11600 College Blvd Ste 201
Overland Park, KS 66210-2786
Phone (913) 310-0225

Other identifiers 1

IdentifierTypeStateIssuer
200879040AMedicaidKS

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

State licenses

LicenseStateTypeSpecialty
13103396102KSMDRegistered Nurse
75698KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Neonatology Associates, LLC PastSince Feb 26, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjennings5124@stormontvaildirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1114289840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 COLLEGE BLVD STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102786",
            "telephone_number": "913-310-0225",
            "fax_number": "913-310-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 COLLEGE BLVD STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102786",
            "telephone_number": "913-310-0225",
            "fax_number": "913-310-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "SALLY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13103396102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "75698",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "KS",
            "license": "75698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200879040A",
            "state": "KS"
        }
    ],
    "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 Feb 20, 2023; 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.