Individual provider Active NPI

Julie D. Tan, MSN, NP

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1174824718
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
75262 Issued in KS
Practice address
9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471
Phone
(816) 319-4785
NPI assigned
Nov 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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 75262 KS Primary

Addresses

Primary practice location

9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471

Mailing address

2122 E Meyer Blvd
Kansas City, MO 64132-1183
Phone (816) 276-9221

Other practice location 1

21 Corporate Woods, 10870 Benson Drive #2160
Overland Park, KS 66210
Phone (833) 357-3227

Other practice location 2

10550 Quivira Rd
Ste 360
Overland Park, KS 66215-2306
Phone (913) 541-8897 ext. 91354

Other names 1

  • Julie D. Storm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, AR, IA, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20110119001287 KS Practitioner - Nurse Practitioner 2062691249 Reassigns benefits to 1 organization
I20180115000814 MO Practitioner - Nurse Practitioner 2062691249 Reassigns benefits to 1 organization
I20210407001614 AR Practitioner - Nurse Practitioner 2062691249 Reassigns benefits to 1 organization
I20220826001059 IA Practitioner - Nurse Practitioner 2062691249 Reassigns benefits to 2 organizations
I20260105003158 VA Practitioner - Nurse Practitioner 2062691249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
75262KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince Aug 23, 2022 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Sep 13, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 27, 2024 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Aug 23, 2022 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Mar 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Research Family Physicians, LLC Past Accepting new patients
Midwest Oncology Associates LLC Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

400 E Court Ave
Ste 110
Des Moines, IA 50309

1089 Jordan Creek Pkwy
Ste 200
West Des Moines, IA 50266
Phone (615) 206-2462

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

120 S Central Ave
Saint Louis, MO 63105
Phone (314) 201-6459

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: jtan@landmarkhealth-direct.org

Organizations & group practices 8

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": "1289606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1174824718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 E MEYER BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321183",
            "telephone_number": "816-276-9221",
            "fax_number": "866-307-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 380",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145471",
            "telephone_number": "816-319-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Corporate Woods, 10870 Benson Drive #2160",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66210",
            "country_code": "US",
            "telephone_number": "833-357-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10550 Quivira Rd",
            "address_2": "Ste 360",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152306",
            "country_code": "US",
            "telephone_number": "913-541-8897 x91354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "JULIE",
        "middle_name": "D.",
        "credential": "MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-13",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "75262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "STORM",
            "middle_name": "D.",
            "credential": "MSN, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.