Individual provider Active NPI

Martha L Killingsworth, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1619170560
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
14-84213-082 Issued in KS
Practice address
10600 Quivira Rd
3Rd Floor
Overland Park, KS 66215-2309
Phone
(913) 894-8500
Fax
(913) 492-2874
NPI assigned
Jun 7, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 14-84213-082 KS Primary

Addresses

Primary practice location

10600 Quivira Rd
3Rd Floor
Overland Park, KS 66215-2309

Mailing address

10600 Quivira Rd
Kansas City Womens Clinic 3Rd Floor
Overland Park, KS 66215-2309
Phone (913) 894-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-84213-082KSMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Women's Clinic Past Accepting new patients

Organizations & group practices 1

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1619170560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA RD",
            "address_2": "KANSAS CITY WOMENS CLINIC 3RD FLOOR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152309",
            "telephone_number": "913-894-8500",
            "fax_number": "913-492-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA RD",
            "address_2": "3RD FLOOR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152309",
            "telephone_number": "913-894-8500",
            "fax_number": "913-492-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINGSWORTH",
        "first_name": "MARTHA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KS",
            "license": "14-84213-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.