Active NPI
Holley Noble, FNP-C
- Nurse Practitioner
- Liberty, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2019046863
- Practice address
- 2529 Glenn Hendren Dr Ste 202
Liberty, MO 64068-9602 - Phone
- (816) 781-4800
- NPI assigned
- Feb 27, 2020
- Last updated
- Feb 27, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-79310-112 | KS | |
| Nurse Practitioner | 363L00000X | 2019046863 | MO | Primary |
Addresses
Primary practice location
2529 Glenn Hendren Dr Ste 202
Liberty, MO 64068-9602
Mailing address
2529 Glenn Hendren Dr Ste 202
Liberty, MO 64068-9602
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79310-112 | KS | MD | Nurse Practitioner |
| 2019046863 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Urology Care, P.a. | Current | Accepting new patients |
Locations
10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585
8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985
4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234
2529 Glenn Hendren Dr
Ste 202
Liberty, MO 64068
Phone (816) 781-4800
Organizations & group practices 1
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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
-
dba Saint Luke's Norland Hospital-Smithville
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1770117863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2529 GLENN HENDREN DR STE 202",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2529 GLENN HENDREN DR STE 202",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689602",
"telephone_number": "816-781-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "HOLLEY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-79310-112",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2019046863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
- 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.