Active NPI
Jana C Kistler, ARNP -C
- Adult Health Nurse Practitioner
- Kansas City, KS
National Provider Identifier
1376652404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 45753
- Practice address
- 3901 Rainbow Blvd
Suite G600
Kansas City, KS 66160-8500 - Phone
- (913) 588-9600
- NPI assigned
- Aug 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 14-65120-081 | KS | |
| Registered Nurse | 163W00000X | 095648 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 45753 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Suite G600
Kansas City, KS 66160-8500
Mailing address
5501 NW 62ND Ter
Suite 201
Kansas City, MO 64151-2411
Phone (816) 584-8884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376652404 | Medicaid | MO | |
| 200358780A | Medicaid | KS |
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 |
|---|---|---|---|
| 14-65120-081 | KS | MD | Registered Nurse |
| 095648 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1376652404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 NW 62ND TER",
"address_2": "SUITE 201",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512411",
"telephone_number": "816-584-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "SUITE G600",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "JANA",
"middle_name": "C",
"credential": "ARNP -C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-65120-081",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "095648",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "45753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376652404",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200358780A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.