Individual provider Active NPI

Kayla Marie Sivils

  • Psychiatric/Mental Health Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1366122111
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023027434 Issued in MO
Practice address
1800 W 30TH St
Joplin, MO 64804-1520
Phone
(417) 347-7580
NPI assigned
Jul 18, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023027434 MO Primary

Addresses

Primary practice location

1800 W 30TH St
Joplin, MO 64804-1520

Mailing address

1800 W 30TH St
Joplin, MO 64804-1520
Phone (417) 347-7580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231002000137 MO Practitioner - Nurse Practitioner 1951755545 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023027434MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospital Acquisition, LLC CurrentSince Dec 1, 2024 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Nov 10, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Nov 10, 2025 Accepting new patients
Lakeland Hospital Acquisition, LLC Current Accepting new patients
Ozark Center CurrentSince Sep 18, 2023 Accepting new patients
Ozark Center CurrentSince Sep 18, 2023 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Nov 10, 2025 Accepting new patients

Locations

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

1800 W 30th St
Joplin, MO 64804
Phone (417) 347-7580

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

440 S Market Ave
Springfield, MO 65806
Phone (417) 865-5581

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1366122111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 30TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041520",
            "telephone_number": "417-347-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 30TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041520",
            "telephone_number": "417-347-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVILS",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023027434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.