Individual provider Active NPI

Keith E Trammell, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1437785672
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020009541 Issued in MO
Practice address
2340 E Meyer Blvd, BLDG 2
Suite 392
Kansas City, MO 64132-6413
Phone
(816) 444-7977
NPI assigned
Mar 19, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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 2020009541 MO Primary

Addresses

Primary practice location

2340 E Meyer Blvd, BLDG 2
Suite 392
Kansas City, MO 64132-6413

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 655-6748

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
I20200608000347 MO Practitioner - Nurse Practitioner 1850712415 Reassigns benefits to 1 organization
I20200623002943 KS Practitioner - Nurse Practitioner 1850712415 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

2340 E Meyer Blvd
Suite 392 BLDG 2
Kansas City, MO 64132-1129
Phone (816) 444-7977

4601 W 109TH St
Suite 100
Overland Park, KS 66211-1313
Phone (913) 942-0540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020009541MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince May 1, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince May 1, 2020 Accepting new patients
Metro Infusion Center PLLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765

1131 SW Winding Rd
Ste 300
Topeka, KS 66615

200 NE 54th St
Unit 111
Kansas City, MO 64118
Phone (816) 455-7400

2340 E Meyer Blvd
Ste 392
Kansas City, MO 64132
Phone (816) 444-7977

931 NE Columbus St
Lees Summit, MO 64086

Organizations & group practices 3

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 4

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1437785672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD, BLDG 2",
            "address_2": "SUITE 392",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641326413",
            "telephone_number": "816-444-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMELL",
        "first_name": "KEITH",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020009541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.