Individual provider Active NPI

Lyla R. Masters, APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1225327323
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0311009 Issued in MO
Practice address
1010 Carondelet Dr Ste 224a
Kansas City, MO 64114-4822
Phone
(913) 563-6644
Fax
(816) 943-6122
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019029220 MO
Family Nurse Practitioner 363LF0000X F0311009 MO Primary

Addresses

Primary practice location

1010 Carondelet Dr Ste 224a
Kansas City, MO 64114-4822

Mailing address

1010 Carondelet Dr Ste 224a
Kansas City, MO 64114-4822
Phone (913) 563-6644

Other identifiers 2

IdentifierTypeStateIssuer
2019029220OtherMOMISSOURI STATE BOARD OF NURSING
F0311009OtherMOAMERICAN ACADEMY OF NURSE PRACTITIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110426000654 MO Practitioner - Nurse Practitioner 3678758224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Medical Group of KC PAGroup PAC ID 7618144056, 27 clinicians

Practice addresses (Care Compare)

1010 Carondelet Dr
Suite 224
Kansas City, MO 64114-4822
Phone (913) 563-6644

1800 E Meyer Boulevard
Kansas City, MO 64132-1142
Phone (816) 523-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019029220MOMDFamily Nurse Practitioner
F0311009MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lyla.masters@direct.signature.nextgenshare.com

Organizations & group practices 1

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1225327323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 224A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144822",
            "telephone_number": "913-563-6644",
            "fax_number": "816-943-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 224A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144822",
            "telephone_number": "913-563-6644",
            "fax_number": "816-943-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "LYLA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019029220",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F0311009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD OF NURSING",
            "identifier": "2019029220",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0311009",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.