Individual provider Active NPI

Shana Laian Geddins, FNP

  • Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1154309706
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1496521092 Issued in KS
Practice address
21 N 12TH St
Suite 400
Kansas City, KS 66102-5161
Phone
(816) 922-7600
Fax
(816) 448-2904
NPI assigned
Jan 4, 2006
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1496521092 KS Primary

Addresses

Primary practice location

21 N 12TH St
Suite 400
Kansas City, KS 66102-5161

Mailing address

1804 NW 63Rd Terrace
Kansas City, MO 64151
Phone (816) 746-4438

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
I20141216001339 KS Practitioner - Nurse Practitioner 2769705102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1496521092KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Oct 7, 2014 Accepting new patients
Swope Health Services CurrentSince Oct 7, 2014 Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1154309706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 NW 63RD TERRACE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64151",
            "telephone_number": "816-746-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST",
            "address_2": "SUITE 400",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "816-922-7600",
            "fax_number": "816-448-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDINS",
        "first_name": "SHANA",
        "middle_name": "LAIAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "1496521092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.