Individual provider Active NPI

Amber D Dewald, ARNP

  • Family Nurse Practitioner
  • Mission, KS
National Provider Identifier
1144477571
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
46269 Issued in KS
Practice address
5555 W 58TH St
Mission, KS 66202-2722
Phone
(913) 432-3780
Fax
(913) 432-8463
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 46269 KS Primary

Addresses

Primary practice location

5555 W 58TH St
Mission, KS 66202-2722

Mailing address

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4564
Phone (913) 299-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230201000911 KS Practitioner - Nurse Practitioner 8426429382 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Medical Group PA CurrentSince Jan 1, 2023 Accepting new patients
Sunflower Medical Group, PA Past Accepting new patients

Locations

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

5555 W 58th St
Mission, KS 66202
Phone (913) 432-2080

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080

Organizations & group practices 2

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1144477571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094564",
            "telephone_number": "913-299-3700",
            "fax_number": "913-299-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W 58TH ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022722",
            "telephone_number": "913-432-3780",
            "fax_number": "913-432-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.