Active NPI
Kristin Waugh, FNP
- Family Nurse Practitioner
- Harrisonville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015038465
- Practice address
- 2820 E Rock Haven Rd Ste 100
Harrisonville, MO 64701-4413 - Phone
- (816) 380-3582
- Fax
- (816) 380-6964
- NPI assigned
- Dec 14, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015038465 | MO | Primary |
Addresses
Primary practice location
2820 E Rock Haven Rd Ste 100
Harrisonville, MO 64701-4413
Mailing address
2820 E Rock Haven Rd Ste 100
Harrisonville, MO 64701-4413
Phone (816) 380-3582
Other practice location 1
2700 Clay Edwards Dr
Suite 120
North Kansas City, MO 64116-3251
Phone (816) 346-7400
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Orthopedic Health of Kansas City P.C. | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
118 W Dallas St
Buffalo, MO 65622
Phone (417) 345-6101
1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555
1950 Diamond Pkwy
Ste 100
North Kansas City, MO 64116
Phone (816) 561-3003
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
363 E Old Route 66
Strafford, MO 65757
Phone (417) 736-9175
Interoperability endpoints
- kristin.waugh.1@21731.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Surgery Physician
- Bolivar, MO
- NPI 1568566131
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Orthopaedic Surgery Physician
- North Kansas City, MO
- NPI 1336188242
-
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1639544802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 E ROCK HAVEN RD STE 100",
"city": "HARRISONVILLE",
"state": "MO",
"postal_code": "647014413",
"telephone_number": "816-380-3582",
"fax_number": "816-380-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 E ROCK HAVEN RD STE 100",
"city": "HARRISONVILLE",
"state": "MO",
"postal_code": "647014413",
"telephone_number": "816-380-3582",
"fax_number": "816-380-6964"
}
],
"practiceLocations": [
{
"address_1": "2700 Clay Edwards Dr",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "North Kansas City",
"state": "MO",
"postal_code": "641163251",
"country_code": "US",
"telephone_number": "816-346-7400",
"fax_number": "816-346-7104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAUGH",
"first_name": "KRISTIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-14",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2015038465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.