Individual provider Active NPI

Deborah Duncan

  • Family Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1831556604
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2005010917 Issued in MO
Practice address
10977 Granada LN
Suite 105
Leawood, KS 66211-1468
Phone
(913) 215-5008
Fax
(816) 447-3960
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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 2005010917 MO Primary

Addresses

Primary practice location

10977 Granada LN
Suite 105
Leawood, KS 66211-1468

Mailing address

210 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone (888) 256-3814

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
I20160315001464 MO Practitioner - Nurse Practitioner 5799081907 Reassigns benefits to 1 organization
I20180118000005 KS Practitioner - Nurse Practitioner 5799081907 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005010917MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Attigo Infusion PA CurrentSince Sep 10, 2023 Accepting new patients
Attigo Infusion Missouri LLC CurrentSince Aug 6, 2023 Accepting new patients
Craig Goldstein DO PA CurrentSince Jul 5, 2023 Accepting new patients
Anesthesia Associates of Kansas City PC Past Accepting new patients
The Neighborhood Clinic, LLC Family PastSince Feb 8, 2016 Accepting new patients

Locations

7007 College Blvd
Ste 450
Overland Park, KS 66211

6509 W 103rd St
Overland Park, KS 66212
Phone (913) 649-3701

1520 N Church Rd
Ste D
Liberty, MO 64068

15301 Spectrum Dr
Ste 330
Addison, TX 75001
Phone (806) 239-5716

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1831556604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10977 GRANADA LN",
            "address_2": "SUITE 105",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111468",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2005010917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.