Individual provider Active NPI

Stephanie Frances Roehm, ARNP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1356678288
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-74992-071 Issued in KS
Practice address
10870 Benson Dr Ste 2160
Overland Park, KS 66210-1509
Phone
(833) 357-3227
Fax
(855) 299-2184
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-74992-071 KS Primary

Addresses

Primary practice location

10870 Benson Dr Ste 2160
Overland Park, KS 66210-1509

Mailing address

830 E Main St
Gardner, KS 66030-1287
Phone (913) 856-4437

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
I20100204000622 KS Practitioner - Nurse Practitioner 2860535481 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-74992-071KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. CurrentSince Dec 9, 2009 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Dec 9, 2009 Accepting new patients

Locations

830 E Main St
Gardner, KS 66030
Phone (913) 390-6666

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

18695 W 151st St
Olathe, KS 66062
Phone (913) 355-3322

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

Interoperability endpoints

  • Direct secure messaging: sroehm@landmarkhealth-direct.org

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": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1356678288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E MAIN ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301287",
            "telephone_number": "913-856-4437",
            "fax_number": "913-856-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 BENSON DR STE 2160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101509",
            "telephone_number": "833-357-3227",
            "fax_number": "855-299-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHM",
        "first_name": "STEPHANIE",
        "middle_name": "FRANCES",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-74992-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.