Individual provider Active NPI

Amy Callaway Carpenter, APRN

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1154896116
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018036471 Issued in MO
Practice address
1201 NW Briarcliff Pkwy Ste 125
Kansas City, MO 64116-1774
Phone
(913) 948-2020
NPI assigned
Oct 5, 2018
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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 2018036471 MO Primary

Addresses

Primary practice location

1201 NW Briarcliff Pkwy Ste 125
Kansas City, MO 64116-1774

Mailing address

13344 Metcalf Ave
Overland Park, KS 66213-2804
Phone (479) 629-4445

Other practice location 1

13340 Metcalf Ave
Overland Park, KS 66213-2804
Phone (913) 948-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181213003141 MO Practitioner - Nurse Practitioner 1850636143 Reassigns benefits to 1 organization
I20191011002071 KS Practitioner - Nurse Practitioner 1850636143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivxpress IncGroup PAC ID 1850530346, 11 clinicians

Practice addresses (Care Compare)

1201 NW Briarcliff Pkwy
125 Briarcliff
Kansas City, MO 64116-1774
Phone (913) 948-2020

13344 Metcalf Ave
Overland Park, KS 66213-2804
Phone (913) 948-2020

22223 W 66TH St
Shawnee, KS 66226-3522
Phone (913) 224-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivxpress Inc CurrentSince Oct 5, 2018 Accepting new patients
Infusion Express of Kansas LLC PastSince Oct 5, 2018 Accepting new patients

Locations

13340 Metcalf Ave
Overland Park, KS 66213
Phone (913) 851-2739

13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733

22223 W 66th St
Shawnee, KS 66226
Phone (913) 224-0030

1201 NW Briarcliff Pkwy
Ste 125
Kansas City, MO 64116
Phone (816) 256-5346

1108 E Patterson St
Ste 10
Kirksville, MO 63501
Phone (660) 665-4265

3600 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 272-0174

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1154896116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13344 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132804",
            "telephone_number": "479-629-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW BRIARCLIFF PKWY STE 125",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161774",
            "telephone_number": "913-948-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13340 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662132804",
            "country_code": "US",
            "telephone_number": "913-948-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "AMY",
        "middle_name": "CALLAWAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018036471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.