Individual provider Active NPI

Christine Joann Jeffries

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1245814631
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80171-022 Issued in KS
Practice address
5701 W 119TH St Ste 330
Overland Park, KS 66209-3754
Phone
(913) 345-3650
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 2021004374 MO
Family Nurse Practitioner 363LF0000X 53-80171-022 KS Primary

Addresses

Primary practice location

5701 W 119TH St Ste 330
Overland Park, KS 66209-3754

Mailing address

2919 W 124TH Ter
Leawood, KS 66209-2445
Phone (913) 909-4377

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHRISTINE.JEFFRIES@hca2.eclinicaldirectplus.com

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
I20210625000841 KS Practitioner - Nurse Practitioner 8022419241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-80171-022KSMDFamily Nurse Practitioner
2021004374MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: christine.jeffries@hca2.eclinicaldirectplus.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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1245814631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W 124TH TER",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092445",
            "telephone_number": "913-909-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093754",
            "telephone_number": "913-345-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "CHRISTINE",
        "middle_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-02-01",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021004374",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80171-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHRISTINE.JEFFRIES@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5701 W 119th St Ste 330",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662093754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.