Individual provider Active NPI

Kyra Dawn Jent, APRN FNP

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1467183194
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83-81259-112 Issued in KS
Practice address
2401 S Tucker Ave Ste 4
Pittsburg, KS 66762-6619
Phone
(620) 301-0264
NPI assigned
Jun 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 83-81259-112 KS Primary

Addresses

Primary practice location

2401 S Tucker Ave Ste 4
Pittsburg, KS 66762-6619

Mailing address

2401 S Tucker Ave Ste 4
Pittsburg, KS 66762-6619
Phone (620) 301-0264

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
83-81259-112KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pitt Family Clinic, LLC Current Accepting new patients
Pitt Family Clinic Current Accepting new patients

Locations

2401 S Tucker Ave
Ste 4
Pittsburg, KS 66762
Phone (620) 231-2490

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.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1467183194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S TUCKER AVE STE 4",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626619",
            "telephone_number": "620-301-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S TUCKER AVE STE 4",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626619",
            "telephone_number": "620-301-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENT",
        "first_name": "KYRA",
        "middle_name": "DAWN",
        "credential": "APRN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "83-81259-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.