Active NPI
Maithe Enriquez, APRN
- Adult Health Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 086876
- Practice address
- 2340 E Meyer Blvd, BLDG 2
Suite 392
Kansas City, MO 64132 - Phone
- (816) 444-7977
- Fax
- (630) 528-9578
- NPI assigned
- May 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 086876 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 086876 | MO | Primary |
Addresses
Primary practice location
2340 E Meyer Blvd, BLDG 2
Suite 392
Kansas City, MO 64132
Mailing address
4601 W 109TH St Ste 100
Overland Park, KS 66211-1313
Phone (913) 942-0540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infusion Center PLLC | Past | Accepting new patients | |
| United Imaging Consultants, LLC | Past | Accepting new patients |
Locations
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765
1131 SW Winding Rd
Ste 300
Topeka, KS 66615
200 NE 54th St
Unit 111
Kansas City, MO 64118
Phone (816) 455-7400
2340 E Meyer Blvd
Ste 392
Kansas City, MO 64132
Phone (816) 444-7977
2340 E Meyer Blvd
Ste 348
Kansas City, MO 64132
Phone (816) 394-9044
20 NE Saint Lukes Blvd
Ste 300
Lees Summit, MO 64086
Phone (816) 531-4080
931 NE Columbus St
Lees Summit, MO 64086
2821 N Ballas Rd
Ste 118
Saint Louis, MO 63131
Organizations & group practices 4
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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
KS, MO
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Infectious Disease Physician
- Temple Terrace, FL
- NPI 1659862860
-
- Diagnostic Radiology Physician
- Lenexa, KS
- NPI 1588669766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1689622417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 W 109TH ST STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111313",
"telephone_number": "913-942-0540",
"fax_number": "630-528-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 E MEYER BLVD, BLDG 2",
"address_2": "SUITE 392",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64132",
"telephone_number": "816-444-7977",
"fax_number": "630-528-9578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "MAITHE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "086876",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "086876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.