Active NPI
Abbie Lee Weatherley, APRN, NP-C
- Family Nurse Practitioner
- Blue Springs, MO
National Provider Identifier
1396177671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2014036571
- Practice address
- 201 NW R D Mize Rd
Blue Springs, MO 64014 - Phone
- (816) 655-5472
- NPI assigned
- Aug 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-76003-011 | KS | |
| Family Nurse Practitioner | 363LF0000X | 2014036571 | MO | Primary |
Addresses
Primary practice location
201 NW R D Mize Rd
Blue Springs, MO 64014
Mailing address
PO Box 505411
Saint Louis, MO 63150-5411
Other names 1
- Abbie Lee Bainter
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 |
|---|---|---|---|
| 53-76003-011 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mo Cardinals Emergency Physicians, LLC | Past | Accepting new patients | |
| Missouri Em-I Medical Services, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Saint Louis, MO
- NPI 1528008976
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1124454442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1396177671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505411",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631505411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NW R D MIZE RD",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64014",
"telephone_number": "816-655-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERLEY",
"first_name": "ABBIE",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-76003-011",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014036571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABBIE",
"last_name": "BAINTER",
"middle_name": "LEE",
"credential": "APRN, NP-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.