Individual provider Active NPI

Brenda J. Jones, MSN, RN, APRN, BC

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1366415333
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
069887 Issued in MO
Practice address
1507 SW Twincreek PL
Blue Springs, MO 64015-8893
Phone
(816) 299-8482
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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 069887 MO Primary
Family Nurse Practitioner 363LF0000X 45182 KS

Addresses

Primary practice location

1507 SW Twincreek PL
Blue Springs, MO 64015-8893

Mailing address

1507 SW Twincreek PL
Blue Springs, MO 64015-8893
Phone (816) 299-8482

Other names 1

  • Brenda J. Hickman Former name

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
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
45182KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Cancer Center, LLC Past Accepting new patients
Midwest Neuroscience PC Past Accepting new patients
Physicians Acute Care Services, Inc Past Accepting new patients

Organizations & group practices 3

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1366415333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 SW TWINCREEK PL",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158893",
            "telephone_number": "816-299-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 SW TWINCREEK PL",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158893",
            "telephone_number": "816-299-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRENDA",
        "middle_name": "J.",
        "credential": "MSN, RN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "069887",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "HICKMAN",
            "middle_name": "J.",
            "credential": "MSN, RN, APRN, BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 14, 2010; 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.