Active NPI
Joanna R Tyrell, LPN
- Licensed Practical Nurse
- Leavenworth, KS
National Provider Identifier
1689581498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 23-24969-102
- Practice address
- 4101 South 4TH Street
Building 122 Room 302
Leavenworth, KS 66048 - Phone
- (913) 682-2000
- NPI assigned
- Aug 26, 2026
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 23-24969-102 | KS | Primary |
Addresses
Primary practice location
4101 South 4TH Street
Building 122 Room 302
Leavenworth, KS 66048
Mailing address
4101 South 4TH Street Trafficway
Building 122 Room 302
Leavenworth, KS 66048
Phone (913) 682-2000
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": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1689581498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 SOUTH 4TH STREET TRAFFICWAY",
"address_2": "BUILDING 122 ROOM 302",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "66048",
"telephone_number": "913-682-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 SOUTH 4TH STREET",
"address_2": "BUILDING 122 ROOM 302",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "66048",
"telephone_number": "913-682-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRELL",
"first_name": "JOANNA",
"middle_name": "R",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "KS",
"license": "23-24969-102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.