Active NPI
Sarah Supiran
- Family Nurse Practitioner
- Lenexa, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5376931041
- Practice address
- 15319 W 95TH St
Lenexa, KS 66219-1262 - Phone
- (913) 495-9905
- NPI assigned
- Dec 30, 2015
- Last updated
- May 1, 2017
- 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 | 2015042086 | MO | |
| Family Nurse Practitioner | 363LF0000X | 5376931041 | KS | Primary |
Addresses
Primary practice location
15319 W 95TH St
Lenexa, KS 66219-1262
Mailing address
15319 W 95TH St
Lenexa, KS 66219-1262
Phone (913) 495-9905
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 E St
Tonganoxie, KS 66086-9557
Phone (913) 369-8705
128 N Hardesty Ave
Kansas City, MO 64123-1404
Phone (816) 241-2020
1501 SW 3Rd St
Lee's Summit Pointe Health and Reha
Lees Summit, MO 64081-2424
Phone (816) 525-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5376931041 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Health of Mo LLC | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Family | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
1010 East St
Tonganoxie, KS 66086
Phone (913) 369-8705
10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800
128 N Hardesty Ave
Kansas City, MO 64123
Phone (816) 241-2020
1501 SW 3rd St
Lees Summit, MO 64081
Phone (615) 497-7460
600 NE Meadowview Dr
Lees Summit, MO 64064
Phone (816) 554-9866
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.
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Family, KS, MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1740645001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15319 W 95TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191262",
"telephone_number": "913-495-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15319 W 95TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191262",
"telephone_number": "913-495-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUPIRAN",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2015042086",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5376931041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.