Active NPI
Tina Rachell Hill, FNP-C
- Family Nurse Practitioner
- Blue Springs, MO
National Provider Identifier
1316530835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021003719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021003719 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symphony Wellness LLC | Current | Accepting new patients | |
| Optum Medical Group P a | Past | 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.
-
- Clinic/Center
- Blue Springs, MO
- NPI 1871364398
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1063143907
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.