Individual provider Active NPI

Dana Michelle Selner

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1376257154
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022030042 Issued in MO
Practice address
1916 Grand Blvd
Kansas City, MO 64108-1803
Phone
(913) 297-7472
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81316-121 KS
Family Nurse Practitioner 363LF0000X 2022030042 MO Primary

Addresses

Primary practice location

1916 Grand Blvd
Kansas City, MO 64108-1803

Mailing address

10401 College Blvd Unit 5246
Overland Park, KS 66210-1484
Phone (281) 389-7605

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
I20230227002439 MO Order and Referring Only - Nurse Practitioner 2668845421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81316-121KSMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dana.selner.1@16552.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1376257154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 COLLEGE BLVD UNIT 5246",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101484",
            "telephone_number": "281-389-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 GRAND BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081803",
            "telephone_number": "913-297-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELNER",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81316-121",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022030042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.