Individual provider Active NPI

Amanda Thomas, DO

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1629607874
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023014181 Issued in MO
Practice address
8380 N Tullis Ave Ste 300
Kansas City, MO 64158-5114
Phone
(816) 415-3451
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2023014181 MO Primary

Addresses

Primary practice location

8380 N Tullis Ave Ste 300
Kansas City, MO 64158-5114

Mailing address

8380 N Tullis Ave Ste 300
Kansas City, MO 64158-5114
Phone (816) 407-4200

Other practice location 1

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-8350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230710003053 MO Practitioner - Family Practice 5193184042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

8380 N Tullis Ave
Suite 300
Kansas City, MO 64158-5114
Phone (816) 415-3451

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2023014181MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
New Liberty Hospital Coporation CurrentSince Aug 1, 2023 Accepting new patients
New Liberty Hospital Corporation Family Medicine Current Accepting new patients

Locations

8380 N Tullis Ave
Ste 300
Kansas City, MO 64158
Phone (816) 415-3451

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: amanda.thomasdo.p7@direct.nlhc.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1629607874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 N TULLIS AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641585114",
            "telephone_number": "816-407-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 N TULLIS AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641585114",
            "telephone_number": "816-415-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434802",
            "country_code": "US",
            "telephone_number": "501-278-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMANDA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023014181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.