Individual provider Active NPI

Hannah Amelia Womer, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1790560498
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53-80886-041 Issued in KS
Practice address
15310 S Marion St
Olathe, KS 66061-5314
Phone
(913) 324-8588
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 53-80886-041 KS Primary

Addresses

Primary practice location

15310 S Marion St
Olathe, KS 66061-5314

Mailing address

21620 W 53Rd Ter
Shawnee, KS 66226-9776
Phone (913) 375-3802

Other names 1

  • Hannah Amelia Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80886-041KSMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1790560498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21620 W 53RD TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662269776",
            "telephone_number": "913-375-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 S MARION ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615314",
            "telephone_number": "913-324-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMER",
        "first_name": "HANNAH",
        "middle_name": "AMELIA",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "53-80886-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "HALL",
            "middle_name": "AMELIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.