Amanda Owens

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77102 Issued in KS

Practice address

4601 W 109TH St Ste 350
Overland Park, KS 66211-1349

Phone

(913) 451-8555

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Henry J. Kanarek M.D. PA

  • Allergy & Immunology Physician
  • Overland Park, KS
  • NPI 1881781409
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1679929012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST STE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111349",
            "telephone_number": "913-451-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST STE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111349",
            "telephone_number": "913-451-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Overland Park Surgical Specialties, LLC
• Overland Park Surgical Suites, LLC
• Overland Park Wellness, L.L.C.
• Overland Rose Senior Living LLC
• Timothy Whitman Owen, ARNP
• Jay Gordon Owens, DO
• Sarah Nicole Owens, LPC
• Stephanie Ann Owensby
• Corinne Oxenford, CRNA
• Andrew Oyelere

• Family Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.