Jennifer E. Ravenscroft, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00906 Issued in KS

Practice address

12208 W 87TH Street Pkwy
Suite 180
Lenexa, KS 66215-2812

Phone

(913) 438-0868

Fax

(913) 338-1311

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer E. Vollweider Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• College Park Family Care Center, P.a.

  • Radiology Clinic/Center
  • Overland Park, KS
  • NPI 1881803229
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1568476984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 W 87TH STREET PKWY",
            "address_2": "SUITE 180",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152812",
            "telephone_number": "913-438-0868",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENSCROFT",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VOLLWEIDER",
            "middle_name": "E.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Elizabeth Randall
• Richard Randolph III, M.D.
• Esther Rankin
• Kaleigh Rash
• Kelli Suzanne Rausch, MSN, APRN, FNP-BC
• Jessica M Rawlings, LPC
• Laura N. Ray, MD
• Wanda F Ray, TLMLP
• Abigail R Raynolds, ARNP
• Delores Lynn Reavis

• Physician Assistant in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.