Active NPI
Monica Lyann Apollo, PAC
- Physician Assistant
- Overland Park, KS
National Provider Identifier
1710167283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1501177
- Practice address
- 8675 College Blvd
Suite 200
Overland Park, KS 66210-1835 - Phone
- (913) 491-5501
- Fax
- (913) 491-8901
- NPI assigned
- Nov 13, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1501177 | KS | Primary |
Addresses
Primary practice location
8675 College Blvd
Suite 200
Overland Park, KS 66210-1835
Mailing address
8675 College Blvd
Suite 200
Overland Park, KS 66210-1835
Phone (913) 491-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1501177 | Other | KS | KANSAS STATE LICENSE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1501177 | KS | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1710167283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8675 COLLEGE BLVD",
"address_2": "SUITE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101835",
"telephone_number": "913-491-5501",
"fax_number": "913-491-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8675 COLLEGE BLVD",
"address_2": "SUITE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101835",
"telephone_number": "913-491-5501",
"fax_number": "913-491-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APOLLO",
"first_name": "MONICA",
"middle_name": "LYANN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1501177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE LICENSE",
"identifier": "1501177",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.