Individual provider Active NPI

Tamara L. McGuire, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Leavenworth, KS
National Provider Identifier
1366478133
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2013028356 Issued in MO
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

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200556570AMedicaidKS
P00334972OtherMORR MEDICARE
427380209MedicaidMO

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

LicenseStateTypeSpecialty
2012041460MOMDGerontology Nurse Practitioner
45991KSMDPsychiatric/Mental Health Nurse Practitioner
2013028356MOMDPsychiatric/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.

Verify at the official NPI Registry.