Individual provider Active NPI

Jody Buchanan, APRN

  • Women's Health Nurse Practitioner
  • Andover, KS
National Provider Identifier
1295500833
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
53-82669-031 Issued in KS
Practice address
215 S Andover Rd Ste E
Andover, KS 67002-8055
Phone
(316) 247-0402
NPI assigned
Nov 22, 2023
Last updated
Jul 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 53-82669-031 KS Primary

Addresses

Primary practice location

215 S Andover Rd Ste E
Andover, KS 67002-8055

Mailing address

215 S Andover Rd Ste E
Andover, KS 67002-8055
Phone (316) 247-0402

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
I20240306000734 KS Practitioner - Nurse Practitioner 3870939499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82669-031KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KS Womens Health Clinic Women's Health Current Accepting new patients

Locations

215 S Andover Rd
Ste E
Andover, KS 67002
Phone (316) 247-0402

Interoperability endpoints

  • Direct secure messaging: jody.buchanan.1@22779.direct.athenahealth.com

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, 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": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1295500833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S ANDOVER RD STE E",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028055",
            "telephone_number": "316-247-0402",
            "fax_number": "833-455-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S ANDOVER RD STE E",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028055",
            "telephone_number": "316-247-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "JODY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "53-82669-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.