Individual provider Active NPI

Brian Joseph Callahan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1396302964
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019023509 Issued in MO
Practice address
5380 Tech Data Dr Ste 101
Clearwater, FL 33760-3122
Phone
(727) 507-2514
Fax
(727) 214-0916
NPI assigned
May 20, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019023509 MO Primary

Addresses

Primary practice location

5380 Tech Data Dr Ste 101
Clearwater, FL 33760-3122

Mailing address

839 W 39TH Ter Apt 10
Kansas City, MO 64111-4077
Phone (913) 439-7928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190808004004 MO Practitioner - Nurse Practitioner 2163759465 Reassigns benefits to 3 organizations
I20190821002938 KS Practitioner - Nurse Practitioner 2163759465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Advanced Orthopedics and Sports MedicineGroup PAC ID 8820370422, 45 clinicians

Practice addresses (Care Compare)

2750 Clay Edwards Dr
North Kansas City, MO 64116-3258
Phone (816) 453-4000

2861 NE Independence Ave
Suite 201
Lees Summit, MO 64064-2379
Phone (816) 525-2840

505 S Hospital Dr
Paola, KS 66071-1850
Phone (816) 525-2840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Sports Medicine CurrentSince Aug 1, 2022 Accepting new patients
Emergency Medicine Services of Mo, LLC CurrentSince Apr 1, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Apr 1, 2024 Accepting new patients
Emergency Medicine Services of KS, PA CurrentSince Apr 1, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Apr 1, 2024 Accepting new patients
Advanced Orthopedics and Sports Medicine CurrentSince Aug 1, 2022 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118

2750 Clay Edwards Dr
Ste 600B
North Kansas City, MO 64116
Phone (816) 453-4000

2750 Hospital Dr
Ste 600
North Kansas City, MO 64116
Phone (816) 453-4000

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1396302964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W 39TH TER APT 10",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114077",
            "telephone_number": "913-439-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 TECH DATA DR STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603122",
            "telephone_number": "727-507-2514",
            "fax_number": "727-214-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019023509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.