Active NPI
Pamela Lynn Sipes, A.R.N.P.
- Adult Health Nurse Practitioner
- Shawnee Mission, KS
National Provider Identifier
1255390613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 45752
- Practice address
- 8901 W 74TH St Ste 380
Shawnee Mission, KS 66204-2245 - Phone
- (913) 632-9870
- Fax
- (913) 632-9898
- NPI assigned
- Mar 22, 2006
- Last updated
- Sep 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 45752 | KS | Primary |
Addresses
Primary practice location
8901 W 74TH St Ste 380
Shawnee Mission, KS 66204-2245
Mailing address
8901 W 74TH St Ste 380
Shawnee Mission, KS 66204-2245
Phone (913) 632-9870
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161599 | Other | KS | BCBS KANSAS |
| P00286008 | Other | KS | RAILROAD MEDICARE |
| 200365380A | Medicaid | KS |
Other names 1
- P Lynn Sipes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1255390613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W 74TH ST STE 380",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042245",
"telephone_number": "913-632-9870",
"fax_number": "913-632-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W 74TH ST STE 380",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042245",
"telephone_number": "913-632-9870",
"fax_number": "913-632-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPES",
"first_name": "PAMELA",
"middle_name": "LYNN",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "45752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KANSAS",
"identifier": "161599",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00286008",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200365380A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "P",
"last_name": "SIPES",
"middle_name": "LYNN",
"credential": "A.R.N.P.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.