Individual provider Active NPI

Kalie Shanks, NP

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1225517576
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79930-011 Issued in KS
Practice address
729 1/2 Massachusetts St Ste 206
Lawrence, KS 66044-2257
Phone
(785) 407-4874
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 53-79930-011 KS Primary

Addresses

Primary practice location

729 1/2 Massachusetts St Ste 206
Lawrence, KS 66044-2257

Mailing address

729 1/2 Massachusetts St Ste 206
Lawrence, KS 66044-2257

Other practice location 1

3200 Mesa Way Ste A
Lawrence, KS 66049-2343
Phone (785) 407-4874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-79930-011KSMDFamily Nurse Practitioner
AP139958TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Mental Health CurrentSince Oct 30, 2022 Accepting new patients

Locations

729 Massachusetts St
Ste 206
Lawrence, KS 66044
Phone (785) 407-4874

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1225517576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 1/2 MASSACHUSETTS ST STE 206",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 1/2 MASSACHUSETTS ST STE 206",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442257",
            "telephone_number": "785-407-4874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Mesa Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660492343",
            "country_code": "US",
            "telephone_number": "785-407-4874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "KALIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79930-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.