Individual provider Active NPI

Deborah S Coon, APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1679809719
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75029 Issued in KS
Practice address
9001 State Line Rd # 300
Kansas City, MO 64114-3232
Phone
(816) 363-2600
Fax
(816) 523-0068
NPI assigned
Oct 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014029940 MO
Family Nurse Practitioner 363LF0000X 75029 KS Primary

Addresses

Primary practice location

9001 State Line Rd # 300
Kansas City, MO 64114-3232

Mailing address

9001 State Line Rd # 300
Kansas City, MO 64114-3232
Phone (816) 363-2600

Other practice location 1

1500 Meadow Lake Pkwy Ste 200
Kansas City, MO 64114-1615
Phone (816) 363-2600

Other practice location 2

10100 W 87th St Ste 100
Overland Park, KS 66212-4628
Phone (913) 894-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100105000774 KS Practitioner - Nurse Practitioner 2769523224 Reassigns benefits to 1 organization
I20150511002010 MO Practitioner - Nurse Practitioner 2769523224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Hospice, Inc CurrentSince Aug 3, 2016 Accepting new patients
Kansas City Hospice, Inc CurrentSince Aug 3, 2016 Accepting new patients

Locations

10100 W 87th St
Ste 100
Overland Park, KS 66212
Phone (913) 894-8228

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

12000 Wornall Rd
Kansas City, MO 64145
Phone (816) 941-1000

9001 State Line Rd
Ste 300
Kansas City, MO 64114

Organizations & group practices 2

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": "1256428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1679809719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD # 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143232",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD # 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143232",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Meadow Lake Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641141615",
            "country_code": "US",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 W 87th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662124628",
            "country_code": "US",
            "telephone_number": "913-894-8228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COON",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-25",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014029940",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.