Individual provider Active NPI

Carly Rene Thomas, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1306642822
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
53-84081-042 Issued in KS
Practice address
9119 W 74TH St Ste 300
Overland Park, KS 66204-2229
Phone
(913) 677-3113
Fax
(913) 677-4514
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 53-84081-042 KS
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 53-84081-042 KS Primary

Addresses

Primary practice location

9119 W 74TH St Ste 300
Overland Park, KS 66204-2229

Mailing address

8716 Paris Ave
Kansas City, MO 64153-1559
Phone (913) 449-2085

Other practice location 1

5401 College Blvd Ste 100
Leawood, KS 66211-1617
Phone (913) 677-3113

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
I20250428002009 KS Practitioner - Nurse Practitioner 8527584168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84081-042KSMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Physician Services Multi-Specialty CurrentSince Feb 25, 2025 Accepting new patients
Womens Care Multi-Specialty Past Accepting new patients

Locations

5401 College Blvd
Ste 100
Leawood, KS 66211
Phone (913) 677-3113

8801 Monrovia St
Ste 200
Lenexa, KS 66215

8801 Monrovia St
Lenexa, KS 66215

9119 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 677-3113

9301 W 74th St
Ste 325
Shawnee Msn, KS 66204
Phone (913) 384-4990

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1306642822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 PARIS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531559",
            "telephone_number": "913-449-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042229",
            "telephone_number": "913-677-3113",
            "fax_number": "913-677-4514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 College Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111617",
            "country_code": "US",
            "telephone_number": "913-677-3113",
            "fax_number": "913-677-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CARLY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "53-84081-042",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KS",
            "license": "53-84081-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.