Larry W Nibbelink, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0418150 Issued in KS

Practice address

16180 W 135TH St
Olathe, KS 66062-1517

Phone

(913) 441-4544

Fax

(913) 422-8462

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Associates for Female Care, PA

  • Obstetrics & Gynecology Physician
  • Kansas City, KS
  • NPI 1083701619
  NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1386662690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16180 W 135TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621517",
            "telephone_number": "913-441-4544",
            "fax_number": "913-422-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16180 W 135TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621517",
            "telephone_number": "913-441-4544",
            "fax_number": "913-422-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBBELINK",
        "first_name": "LARRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-02-09",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0418150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163710A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN RR",
            "identifier": "CO3121",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LARRY.NIBBELINK@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "16180 W 135th St",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660621517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth C Newby, OTR
• Kenneth Newman Jr., PT, DPT
• Nexus Chiropractic and Wellness, LLC
• Nexus Counseling LLC
• Kimatu Ngao
• Nicholas W Kanakares Jr DDS PA
• Charla Nichols, MOTR/L
• Gabriella Nichols, STUDENT
• Stacey Danielle Nicholson, LCMFT
• Devin Natalie Nickell, LPC-T

• Obstetrics & Gynecology Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.