Individual provider Active NPI

Jacqueline L. Shearer, NP

  • Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1689614166
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
084894 Issued in MO
Practice address
801 NW Saint Mary Dr
Suite 101
Blue Springs, MO 64014-2524
Phone
(816) 228-1000
Fax
(816) 463-6035
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 084894 MO Primary

Addresses

Primary practice location

801 NW Saint Mary Dr
Suite 101
Blue Springs, MO 64014-2524

Mailing address

801 NW Saint Mary Dr
Suite 101
Blue Springs, MO 64014-2524
Phone (816) 228-1000

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1689614166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW SAINT MARY DR",
            "address_2": "SUITE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142524",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NW SAINT MARY DR",
            "address_2": "SUITE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142524",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "JACQUELINE",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "084894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.