Shawna Patch, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0441343 Issued in KS

Practice address

13643 S Mur-Len Rd
Olathe, KS 66062

Phone

(913) 764-3106

Fax

(913) 764-8059

NPI assigned

Apr 2, 2015

Last updated

Nov 1, 2024By the provider in NPPES

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 identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9997a5fc-aad4-42a6-b005-45276937bbd0/
• Direct secure messaging: sstokes183456@direct.kuha.org

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.

• Children's Mercy- Sunshine Pediatrics Inc

  • Pediatrics Physician
  • Olathe, KS
  • NPI 1396619722
  NPD (past)
• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  NPD (past)
• Preferred Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Olathe, KS
  • NPI 1033172150
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1629463096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13643 S MUR-LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-764-3106",
            "fax_number": "913-764-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13643 S MUR-LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-764-3106",
            "fax_number": "913-764-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCH",
        "first_name": "SHAWNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0441343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201216510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Nannette Parker, LMSW
• Shana Parker, LSCSW, LCSW
• Tara L Parr, PA
• Parsons Chiropractic LLC (Herman Chiropractic)
• Kaysie M. Paske, LMSW
• Patel-Vaughn and Associates, LLC
• Ashita Patel, PTA
• Ektaben Sanket Patel, MD
• Jeet Patel, DO
• Krishna Patel

• Pediatrics Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.