Individual provider Active NPI

Pamela Lynn Sipes, A.R.N.P.

  • Adult Health Nurse Practitioner
  • Shawnee Mission, KS
National Provider Identifier
1255390613
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
45752 Issued in KS
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
161599OtherKSBCBS KANSAS
P00286008OtherKSRAILROAD MEDICARE
200365380AMedicaidKS

Other names 1

  • P Lynn Sipes Other name

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.

Verify at the official NPI Registry.