Individual provider Active NPI

Jennifer I Enyeribe

  • Psychiatric/Mental Health Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1659282408
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25325340 Issued in MO
Practice address
1550 SW Market St Ste 200
Lees Summit, MO 64081-3132
Phone
(816) 399-2503
NPI assigned
Sep 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25325340 MO Primary

Addresses

Primary practice location

1550 SW Market St Ste 200
Lees Summit, MO 64081-3132

Mailing address

1550 SW Market St Ste 200
Lees Summit, MO 64081-3132

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1659282408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SW MARKET ST STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SW MARKET ST STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813132",
            "telephone_number": "816-399-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYERIBE",
        "first_name": "JENNIFER",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "25325340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.