Individual provider Active NPI

Amber Vining, FNP

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1336648377
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019037892 Issued in MO
Practice address
10824 Shawnee Mission Pkwy
Shawnee, KS 66203-3512
Phone
(913) 297-7472
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019037892 MO Primary
Family Nurse Practitioner 363LF0000X 53-78041-081 KS

Addresses

Primary practice location

10824 Shawnee Mission Pkwy
Shawnee, KS 66203-3512

Mailing address

14057 S Inverness St
Olathe, KS 66061-6834

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
I20180412001665 KS Practitioner - Nurse Practitioner 6103189790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-78041-081KSMDFamily Nurse Practitioner
2019037892MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ottawa Family Physicians, Chartered CurrentSince Mar 19, 2018 Accepting new patients
Ottawa Family Physicians, Chartered CurrentSince Mar 19, 2018 Accepting new patients

Locations

1418 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-1620

Interoperability endpoints

  • Direct secure messaging: amber.vining.3@16552.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1336648377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14057 S INVERNESS ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10824 SHAWNEE MISSION PKWY",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033512",
            "telephone_number": "913-297-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019037892",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78041-081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.