Stephanie Vanausdall, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

TO BE ISSUED Issued in KS

Practice address

10951 Lakeview Ave
Lenexa, KS 66219-1331

Phone

(913) 322-7408

Fax

(913) 322-7410

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KC Geriatrics LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
  • NPI 1457956690
  NPD
• Kansas City Medical Partners LLC

  • Internal Medicine Physician
  • Lees Summit, MO
  • NPI 1467641076
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1497114482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10951 LAKEVIEW AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191331",
            "telephone_number": "913-322-7408",
            "fax_number": "913-322-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10951 LAKEVIEW AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191331",
            "telephone_number": "913-322-7408",
            "fax_number": "913-322-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAUSDALL",
        "first_name": "STEPHANIE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2016005316",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "TO BE ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Denise Valbuena
• Jazmin Valdez Villegas, OTA
• Valis LLC
• Jodi Van Walleghem, LMSW
• Sady Vanalstine
• Nancy Hoffman Vanderpool, PHARMD
• Angela M Vandeventer, SLP
• Teresa Varanka, M.D.
• Brooke Varnum
• Diane Marie Velasquez-Peralta, LCSW, LMSW

• Acute Care Nurse Practitioner in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Acute Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.