Individual provider Active NPI

Dawna Smith, FNP-C

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1225660699
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80394 Issued in KS
Practice address
2040 Hutton Rd Ste 102
Kansas City, KS 66109-4566
Phone
(913) 299-3700
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 80394 KS Primary

Addresses

Primary practice location

2040 Hutton Rd Ste 102
Kansas City, KS 66109-4566

Mailing address

2040 Hutton Rd
Kansas City, KS 66109-4526
Phone (913) 299-3700

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
I20230126002207 KS Practitioner - Nurse Practitioner 4284005497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80394KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Medical Group, PA CurrentSince Oct 22, 2022 Accepting new patients
Sunflower Medical Group PA CurrentSince Oct 22, 2022 Accepting new patients

Locations

2040 Hutton Rd
Kansas City, KS 66109
Phone (913) 299-3700

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1225660699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094526",
            "telephone_number": "913-299-3700",
            "fax_number": "913-721-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD STE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094566",
            "telephone_number": "913-299-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAWNA",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "80394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.