Individual provider Active NPI

Lateak Harbin, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1811590367
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020038847 Issued in MO
Practice address
9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Phone
(816) 363-2600
Fax
(816) 523-0068
NPI assigned
Nov 18, 2020
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 53-83856-011 KS
Family Nurse Practitioner 363LF0000X 2020038847 MO Primary

Addresses

Primary practice location

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212

Mailing address

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Phone (816) 363-2600

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
I20201230001610 MO Practitioner - Nurse Practitioner 2961815493 Reassigns benefits to 1 organization
I20250303002111 KS Practitioner - Nurse Practitioner 2961815493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Hospice, Inc CurrentSince Dec 23, 2024 Accepting new patients
Kansas City Hospice, Inc CurrentSince Dec 23, 2024 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

10100 W 87th St
Ste 100
Overland Park, KS 66212
Phone (913) 894-8228

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

9001 State Line Rd
Ste 200
Kansas City, MO 64114

9001 State Line Rd
Ste 300
Kansas City, MO 64114

Organizations & group practices 3

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1811590367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "LATEAK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83856-011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020038847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.