Active NPI
Jacqueline L. Shearer, NP
- Nurse Practitioner
- Blue Springs, MO
National Provider Identifier
1689614166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 084894
- 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
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 |
|---|---|---|---|---|
| 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.