Individual provider Active NPI

Carmen Kynard, FNP

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1497099964
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2011022104 Issued in MO
Practice address
6420 Prospect Ave
Suite 205
Kansas City, MO 64132-4147
Phone
(816) 361-3535
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2011022104 MO Primary

Addresses

Primary practice location

6420 Prospect Ave
Suite 205
Kansas City, MO 64132-4147

Mailing address

6420 Prospect Ave
Suite 205
Kansas City, MO 64132-4147
Phone (816) 361-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Creek Outpatient Services LLC Past Accepting new patients
St Lukes Hospital of Kansas City PastSince Dec 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1497099964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "SUITE 205",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-361-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "SUITE 205",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-361-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYNARD",
        "first_name": "CARMEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2011022104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.