Individual provider Active NPI

Jordan Jean Longabaugh, M.D.

  • Obstetrics & Gynecology Physician
  • Lee's Summit, MO
National Provider Identifier
1265013437
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2026034658 Issued in MO
Practice address
120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000
Phone
(816) 251-5780
Fax
(816) 251-5781
NPI assigned
Apr 19, 2021
Reactivated
Jun 24, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2026034658 MO Primary
Obstetrics & Gynecology Physician 207V00000X 94-10994 KS

Addresses

Primary practice location

120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000

Mailing address

120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000
Phone (816) 251-5780

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722001113 KS Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 3870974785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc PastSince Aug 31, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jordan.longabaugh@hca3.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1265013437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD FL 3",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640861000",
            "telephone_number": "816-251-5780",
            "fax_number": "816-251-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD FL 3",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640861000",
            "telephone_number": "816-251-5780",
            "fax_number": "816-251-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGABAUGH",
        "first_name": "JORDAN",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "deactivation_date": "2022-03-27",
        "reactivation_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2026034658",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "94-10994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.