Kylie Hayne Vannaman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-35983 Issued in KS

Practice address

7199 W 98TH Ter
Suite 110
Overland Park, KS 66212-2241

Phone

(913) 948-7652

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2015 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liveactive Primary Care, LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1245686625
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1801999875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 W 98TH TER",
            "address_2": "SUITE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122241",
            "telephone_number": "913-948-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 W 98TH TER",
            "address_2": "SUITE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122241",
            "telephone_number": "913-948-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNAMAN",
        "first_name": "KYLIE",
        "middle_name": "HAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-35983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Vandeurzen, CRNA
• Choua Vang, APRN
• Muskan Vankwani, MD
• Audra Nicole Vanmatre
• Donald Dean Vannaman, M.D.
• Leeah Vannattan
• Hayley Vanness
• Lisa M Vansaghi, M.D.
• Cortney Vanwhy, PTA
• Rebecca Varady, LPC

• Family Medicine Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.