Individual provider Active NPI

Heather Friday, FNP-C

  • Family Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1801654322
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024009295 Issued in MO
Practice address
11111 Nall Ave Ste 103
Leawood, KS 66211-1625
Phone
(913) 302-7183
Fax
(888) 779-3217
NPI assigned
Mar 11, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024009295 MO Primary

Addresses

Primary practice location

11111 Nall Ave Ste 103
Leawood, KS 66211-1625

Mailing address

11111 Nall Ave Ste 103
Leawood, KS 66211-1625
Phone (913) 302-7183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250124000836 KS Practitioner - Nurse Practitioner 7012356959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Primary Care PAGroup PAC ID 2466796024, 16 clinicians

Practice addresses (Care Compare)

10665 Barkley St
Overland Park, KS 66212-1848
Phone (913) 642-5400

12500 W 137TH St
Overland Park, KS 66221-4129
Phone (913) 730-3700

15700 W 151St St
Benton House Olathe
Olathe, KS 66062-3059
Phone (913) 971-0300

22000 Prairie Star Pkwy
Lenexa, KS 66220-7901
Phone (913) 839-4097

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024009295MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Primary Care PA CurrentSince Mar 20, 2024 Accepting new patients

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 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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1801654322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE STE 103",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111625",
            "telephone_number": "913-302-7183",
            "fax_number": "888-779-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE STE 103",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111625",
            "telephone_number": "913-302-7183",
            "fax_number": "888-779-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-05-29",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024009295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.