Kaitlin Grace Carter, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022040040 Issued in MO

Practice address

615 SW Oldham Pkwy
Lees Summit, MO 64081-2602

Phone

(816) 524-3328

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

State licenses

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1609586023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 NE WEBSTER DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SW OLDHAM PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812602",
            "telephone_number": "816-524-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KAITLIN",
        "middle_name": "GRACE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022040040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Carpenter, MA, LPC
• Christine L Carr
• Emma Carr, OTR
• Tabitha K Carroll
• Alan Carson
• Brent A Caruthers, HIS
• Joseph Casella, MD
• Amanda Casey, IBCLC
• Edward Brian Cashman, D.O.
• Casita Home Care LLC (ComForCare Home Care (Lee's Summit))

• Family Nurse Practitioner in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.