Individual provider Active NPI

Kendra P Vogel

  • Family Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1790239978
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016023923 Issued in MO
Practice address
10977 Granada LN
Suite 105
Leawood, KS 66211-1468
Phone
(913) 215-5008
Fax
(816) 447-3960
NPI assigned
Aug 5, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016023923 MO Primary
Family Nurse Practitioner 363LF0000X 5376917 KS

Addresses

Primary practice location

10977 Granada LN
Suite 105
Leawood, KS 66211-1468

Mailing address

PO Box 875743
Kansas City, MO 64187-5743
Phone (913) 215-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160816000606 MO Practitioner - Nurse Practitioner 2264726116 Reassigns benefits to 1 organization
I20160816001237 KS Practitioner - Nurse Practitioner 2264726116 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016023923MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Missouri-Kansas LLC CurrentSince Aug 15, 2016 Accepting new patients
NTTR Medical LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

13600 W 110th Ter
Lenexa, KS 66215
Phone (913) 717-0071

9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900

10977 Granada Ln
Ste 105
Overland Park, KS 66211

12100 W 109th St
Shawnee Mission, KS 66210
Phone (913) 469-4210

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

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1790239978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875743",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641875743",
            "telephone_number": "913-215-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 105",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "KENDRA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016023923",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.