Individual provider Active NPI

Lisa Crough, RN ARNP MSN

  • Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1740222900
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP45648 Issued in KS
Practice address
20805 W 151St Street
Building 2 Suite 400
Olathe, KS 66061-5353
Phone
(913) 780-4900
Fax
(913) 780-0949
NPI assigned
Jun 12, 2006
Last updated
Jul 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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 ARNP45648 KS Primary

Addresses

Primary practice location

20805 W 151St Street
Building 2 Suite 400
Olathe, KS 66061-5353

Mailing address

20805 W 151St Street
Building 2 Suite 400
Olathe, KS 66061-5353
Phone (913) 780-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000794 KS Practitioner - Nurse Practitioner 3173580008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP45648KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc CurrentSince Mar 20, 2017 Accepting new patients
Olathe Wound and Hyperbaric Associates LLC Past Accepting new patients
Olathe Health Physicians, Inc. Past Accepting new patients

Locations

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400

Interoperability endpoints

  • Direct secure messaging: lcrough660682@adventhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1740222900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20805 W 151ST STREET",
            "address_2": "BUILDING 2 SUITE 400",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615353",
            "telephone_number": "913-780-4900",
            "fax_number": "913-780-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20805 W 151ST STREET",
            "address_2": "BUILDING 2 SUITE 400",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615353",
            "telephone_number": "913-780-4900",
            "fax_number": "913-780-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUGH",
        "first_name": "LISA",
        "credential": "RN ARNP MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "ARNP45648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.