Active NPI
Rachel Douglass Hunt, PA-C
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Leawood, KS
National Provider Identifier
1417478264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- 15-01384
- Practice address
- 11100 Ash St Ste 210
Leawood, KS 66211-1734 - Phone
- (913) 338-5476
- NPI assigned
- Jul 2, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01384 | TN | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 15-01384 | KS | Primary |
Addresses
Primary practice location
11100 Ash St Ste 210
Leawood, KS 66211-1734
Mailing address
12643 S Hallet St
Olathe, KS 66062-5846
Phone (913) 709-2471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-01384 | Other | KS | STATE OF KANSAS LICENCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01384 | TN | MD | Physician Assistant |
| 15-01384 | KS | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498953600000",
"number": "1417478264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12643 S HALLET ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660625846",
"telephone_number": "913-709-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 ASH ST STE 210",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111734",
"telephone_number": "913-338-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "RACHEL",
"middle_name": "DOUGLASS",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-02",
"last_updated": "2017-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "15-01384",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "KS",
"license": "15-01384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF KANSAS LICENCE",
"identifier": "15-01384",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.