Sandra Sue Govro, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2021026634 Issued in MO

Practice address

15316 Perry St
Overland Park, KS 66221-7504

Phone

(913) 557-0007

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Labette Center for Mental Health Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsons, KS
  • NPI 1770594756
  Medicare reassignment NPD
• Integrated Psychiatric Consultants PA

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1306296280
  NPD
• Pratt Regional Medical Center Corporation

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  NPD
• Pratt Regional Medical Center Corporation

  • Infusion Therapy Clinic/Center
  • Pratt, KS
  • NPI 1689246753
  NPD
• Betty Jean Kerr People'S Health Centers

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1215692348
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1811264104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7339 TOURNAMENT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631297708",
            "telephone_number": "903-436-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15316 PERRY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217504",
            "telephone_number": "913-557-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVRO",
        "first_name": "SANDRA",
        "middle_name": "SUE",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2021-11-15",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "735706",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "104056",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "104056",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021026634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "104056",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "735706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Sue Gottsch, M.S.
• Elizabeth Ann Gouger
• Marguerite Gould
• Zachary Ryan Gove, PT, DPT, CSCS
• Gabrielle Accurso Govea, LMFT-T
• Mala Goyal, M.D.
• John Sams Goza, MD
• GPS BVS, LLC
• Nathan Graber, LPC
• Twila R Grabill, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.