NPIMap

Individual provider Active NPI

Heather Renee Conklin, ARNP

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1295867158
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45915 Issued in KS
Practice address
1295 E 151St St Ste 7
Olathe, KS 66062-3429
Phone
(913) 381-0622
Fax
(913) 254-1120
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 45915 KS Primary

Addresses

Primary practice location

1295 E 151St St Ste 7
Olathe, KS 66062-3429

Mailing address

2790 Clay Edwards Dr
North Kansas City, MO 64116-3276
Phone (816) 474-9353

Other identifiers 1

IdentifierTypeStateIssuer
1295867158OtherKSNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071114000197 KS Practitioner - Nurse Practitioner 1052409786 Reassigns benefits to 1 organization
I20151020000057 MO Practitioner - Nurse Practitioner 1052409786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates MD PAGroup PAC ID 9931012820, 20 clinicians

Practice addresses (Care Compare)

1605 E Peoria St
Davita Dialysis
Paola, KS 66071-1893
Phone (913) 294-8417

2790 Clay Edwards Dr
Suite 410
N Kansas City, MO 64116-3274
Phone (816) 474-9353

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Miami County Medical Center Hospital, Paola, KS, CCN 170109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates MD PA CurrentSince Mar 10, 2008 Accepting new patients
Transtreme, LLC Family Past Accepting new patients
Windcreek Dialysis LLC Past Accepting new patients

Locations

9501 State Ave
Ste 1
Kansas City, KS 66111
Phone (913) 596-1700

1295 E 151st St
Ste 7
Olathe, KS 66062
Phone (913) 381-0622

11111 Nall Ave
Ste 114
Overland Park, KS 66211
Phone (913) 383-1202

1605 E Peoria St
Paola, KS 66071
Phone (913) 294-8417

8901 W 74th St
Ste 328
Shawnee Msn, KS 66204

2790 Clay Edwards Dr
Ste 410
North Kansas City, MO 64116
Phone (816) 474-9353

Interoperability endpoints

  • Direct secure messaging: heather.conklin.p1@direct.nephkc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1295867158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-474-9353",
            "fax_number": "816-474-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 E 151ST ST STE 7",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623429",
            "telephone_number": "913-381-0622",
            "fax_number": "913-254-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295867158",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.