Active NPI
Tamara L. McGuire, ANP
- Psychiatric/Mental Health Nurse Practitioner
- Leavenworth, KS
National Provider Identifier
1366478133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2013028356
- Practice address
- 3500 S 4TH St
Leavenworth, KS 66048-5043 - Phone
- (913) 680-6000
- NPI assigned
- Jun 24, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 133516 | MO | |
| Gerontology Nurse Practitioner | 363LG0600X | 2012041460 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 45991 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2013028356 | MO | Primary |
Addresses
Primary practice location
3500 S 4TH St
Leavenworth, KS 66048-5043
Mailing address
1000 Carondelet Dr
Provider Enrollment
Kansas City, MO 64114
Phone (816) 943-5744
Other practice location 1
1216 Biltmore Dr
Lawrence, KS 66049-1995
Phone (785) 856-7900
Other practice location 2
1501 Inverness Dr
Lawrence, KS 66047-1870
Phone (785) 838-8000
Other practice location 3
700 Cherokee St
Oskaloosa, KS 66066-5054
Phone (785) 863-2108
Other practice location 4
3220 Peterson Rd
Lawrence, KS 66049-1963
Phone (785) 832-9900
Other practice location 5
4851 Harvard Rd
Lawrence, KS 66049-3964
Phone (785) 749-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200556570A | Medicaid | KS | |
| P00334972 | Other | MO | RR MEDICARE |
| 427380209 | Medicaid | MO |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012041460 | MO | MD | Gerontology Nurse Practitioner |
| 45991 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2013028356 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1366478133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"address_2": "PROVIDER ENROLLMENT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-943-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485043",
"telephone_number": "913-680-6000"
}
],
"practiceLocations": [
{
"address_1": "1216 Biltmore Dr",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660491995",
"country_code": "US",
"telephone_number": "785-856-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Inverness Dr",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660471870",
"country_code": "US",
"telephone_number": "785-838-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Cherokee St",
"address_purpose": "LOCATION",
"city": "Oskaloosa",
"state": "KS",
"postal_code": "660665054",
"country_code": "US",
"telephone_number": "785-863-2108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3220 Peterson Rd",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660491963",
"country_code": "US",
"telephone_number": "785-832-9900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4851 Harvard Rd",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660493964",
"country_code": "US",
"telephone_number": "785-749-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGUIRE",
"first_name": "TAMARA",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "133516",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2012041460",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "45991",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2013028356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200556570A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00334972",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "427380209",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.