Individual provider Active NPI

Kelley Capron, ARNP

  • Family Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1669407292
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45882 Issued in KS
Practice address
10977 Granada LN
Suite 105
Leawood, KS 66211-1468
Phone
(913) 215-5008
Fax
(816) 447-3960
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 155018 MO
Family Nurse Practitioner 363LF0000X 45882 KS Primary
Family Nurse Practitioner 363LF0000X 213380-7 MN

Addresses

Primary practice location

10977 Granada LN
Suite 105
Leawood, KS 66211-1468

Mailing address

PO Box 875743
Kansas City, MO 64187-5743
Phone (913) 215-5008

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

LicenseStateTypeSpecialty
45882KSMDFamily Nurse Practitioner
213380-7MNMDFamily Nurse Practitioner
155018MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Coverage LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1669407292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875743",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641875743",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 105",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRON",
        "first_name": "KELLEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "155018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45882",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "213380-7",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.