Active NPI
Empower Preventive Care PA
- Primary Care Clinic/Center
- Overland Park, KS
National Provider Identifier
1124897905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- EMPOWER PREVENTIVE CARE PA
- Practice address
- 5701 W 119TH St Ste 220
Overland Park, KS 66209-3721 - Phone
- (913) 948-6400
- Fax
- (913) 948-6499
- NPI assigned
- Dec 21, 2023
- Last updated
- Dec 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda A Kelly
- Title
- Business Manager
- Phone
- (816) 520-7748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
5701 W 119TH St Ste 220
Overland Park, KS 66209-3721
Mailing address
5701 W 119TH St Ste 220
Overland Park, KS 66209-3721
Phone (913) 948-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2303312 | Empower Preventive Care, PA | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
5701 W 119th St
Ste 220
Overland Park, KS 66209
Phone (816) 524-5522
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1124897905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 W 119TH ST STE 220",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093721",
"telephone_number": "913-948-6400",
"fax_number": "913-948-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W 119TH ST STE 220",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093721",
"telephone_number": "913-948-6400",
"fax_number": "913-948-6499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER PREVENTIVE CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "816-520-7748"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.