Individual provider Active NPI

Tina Rachell Hill, FNP-C

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1316530835
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021003719 Issued in MO
Practice address
1200 NW South Outer Rd Ste 229
Blue Springs, MO 64015-3051
Phone
(816) 600-0862
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 2021003719 MO Primary

Addresses

Primary practice location

1200 NW South Outer Rd Ste 229
Blue Springs, MO 64015-3051

Mailing address

1200 NW South Outer Rd Ste 229
Blue Springs, MO 64015-3051
Phone (816) 600-0862

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

State licenses

LicenseStateTypeSpecialty
2021003719MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Wellness LLC CurrentSince Jan 21, 2024 Accepting new patients
Optum Medical Group P a PastSince Feb 1, 2021 Accepting new patients

Locations

1200 NW South Outer Rd
Ste 229
Blue Springs, MO 64015
Phone (816) 600-0862

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1316530835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD STE 229",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153051",
            "telephone_number": "816-600-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD STE 229",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153051",
            "telephone_number": "816-600-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TINA",
        "middle_name": "RACHELL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021003719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.