NPIMap

Individual provider Active NPI

Teresa Taylor, DNP

  • Primary Care Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1780393116
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2021045526 Issued in MO
Practice address
1001 NW Chipman Rd Ste 103
Lees Summit, MO 64081-3912
Phone
(337) 991-9276
NPI assigned
Nov 15, 2022
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2021045526 MO Primary

Addresses

Primary practice location

1001 NW Chipman Rd Ste 103
Lees Summit, MO 64081-3912

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230624000292 KS Practitioner - Nurse Practitioner 8426416371
I20230628002553 MO Practitioner - Nurse Practitioner 8426416371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

Practice addresses (Care Compare)

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021045526MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince Oct 2, 2024 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Oct 2, 2024 Accepting new patients
KC Geriatrics LLC CurrentSince May 6, 2023 Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

1001 NW Chipman Rd
Ste 103
Lees Summit, MO 64081

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

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 7

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1780393116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NW CHIPMAN RD STE 103",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813912",
            "telephone_number": "337-991-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERESA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2021045526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.