Active NPI
Deanna Michelle Swaggerty, MSN-APRN
- Family Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012041205
- Practice address
- 8765 N Ambassador Dr
Kansas City, MO 64154-2540 - Phone
- (913) 297-7472
- NPI assigned
- May 12, 2013
- Last updated
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012041205 | MO | Primary |
| Family Nurse Practitioner | 363LF0000X | 53-75768-022 | KS |
Addresses
Primary practice location
8765 N Ambassador Dr
Kansas City, MO 64154-2540
Mailing address
8765 N Ambassador Dr
Kansas City, MO 64154-2540
Phone (913) 297-7472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420005275 | Medicaid | MO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 Carondelet Dr
Kansas City, MO 64114-4865
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75768-022 | KS | MD | Family Nurse Practitioner |
| 2012041205 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients |
Locations
15604 Pinehurst Dr
Ste 2
Basehor, KS 66007
Phone (913) 728-2200
913 Sheidley Ave
Bonner Springs, KS 66012
Phone (816) 301-4533
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299
Interoperability endpoints
- deanna.swaggerty.1@16552.direct.athenahealth.com
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.
-
dba Providence Medical Group
- General Practice Physician
- Shawnee, KS
- NPI 1356683213
-
- General Practice Physician
- Leavenworth, KS
- NPI 1972119741
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Medical Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1528301900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1568808061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 N AMBASSADOR DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641542540",
"telephone_number": "913-297-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8765 N AMBASSADOR DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641542540",
"telephone_number": "913-297-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAGGERTY",
"first_name": "DEANNA",
"middle_name": "MICHELLE",
"credential": "MSN-APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-12",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012041205",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-75768-022",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420005275",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.