Active NPI
Jessica Lynn Bland, AGPCNP-C
- Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1649630823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2016001991
- Practice address
- 9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471 - Phone
- (816) 319-4785
- NPI assigned
- Mar 1, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2016001991 | MO | Primary |
Addresses
Primary practice location
9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471
Mailing address
1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649630823 | Medicaid | MO |
Other names 1
- Miss Jessica Lynn Pappas
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2016001991 | MO | MD | Nurse Practitioner |
Interoperability endpoints
- jbland@landmarkhealth-direct.org
- jbland746036@directb.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1649630823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-364-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9229 WARD PKWY STE 380",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641145471",
"telephone_number": "816-319-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "AGPCNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-01",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2016001991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649630823",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "PAPPAS",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.