Individual provider Active NPI

Natalie M Allen, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1417248378
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011006161 Issued in MO
Practice address
10015 N Ambassador Dr Ste 100
Kansas City, MO 64153
Phone
(816) 595-4000
Fax
(816) 595-4001
NPI assigned
Apr 27, 2011
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 75658 KS
Family Nurse Practitioner 363LF0000X 2011006161 MO Primary

Addresses

Primary practice location

10015 N Ambassador Dr Ste 100
Kansas City, MO 64153

Mailing address

2550 N Thunderbird Cir Ste 303
Mesa, AZ 85215-1219
Phone (480) 455-4932

Other practice location 1

4800 W 135th St
Leawood, KS 66224-8720
Phone (913) 420-8000

Other identifiers 4

IdentifierTypeStateIssuer
2011006161OtherMOFNP LICENSE
75658OtherKSFNP LICENSE
99275OtherKSRN LICENSE
154008OtherMORN LICENSE

Other names 1

  • Natalie M Closser Former name

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
I20260603000764 MO Order and Referring Only - Nurse Practitioner 1759568645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
75658KSMDFamily Nurse Practitioner
2011006161MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc CurrentSince May 18, 2013 Accepting new patients
Jayhawk Primary Care Inc Current Accepting new patients
Mid-America Cardiology Associates, Inc. Past Accepting new patients
East Meyer Blvd Emergency Physicians LLC Past Accepting new patients

Locations

12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1417248378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N THUNDERBIRD CIR STE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151219",
            "telephone_number": "480-455-4932",
            "fax_number": "480-776-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 N AMBASSADOR DR STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64153",
            "telephone_number": "816-595-4000",
            "fax_number": "816-595-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 W 135th St",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662248720",
            "country_code": "US",
            "telephone_number": "913-420-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NATALIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011006161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "2011006161",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "75658",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "99275",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "154008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "CLOSSER",
            "middle_name": "M",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.