Mary Katherine Hawes, DNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Kansas City, MO
NPI 1831702174 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1831702174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2020016208 (MO)
- Practice address
- 1000 Carondelet Dr Ste 100
Kansas City, MO 64114-4673 - Phone
- (816) 941-9030
- Fax
- (816) 941-4416
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210129001465 | MO | Practitioner - Nurse Practitioner | 2264846468 | Reassigns benefits to 2 organizations |
| I20250212001039 | KS | Practitioner - Nurse Practitioner | 2264846468 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Kansas City - Physician Services LLC | Current |
Accepting new patients | |
| Ivxpress Inc | Current |
Accepting new patients | |
| Infusion Express of Kansas LLC | Past |
Accepting new patients |
Locations
13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733
13340 Metcalf Ave
Overland Park, KS 66213
Phone (913) 851-2739
22223 W 66th St
Shawnee, KS 66226
Phone (913) 224-0030
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
1201 NW Briarcliff Pkwy
Ste 125
Kansas City, MO 64116
Phone (816) 256-5346
1000 Carondelet Dr
Ste 100
Kansas City, MO 64114
Phone (816) 941-9030
3600 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 272-0174
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2020016208 | MO | Yes |
Addresses
Primary practice location
1000 Carondelet Dr Ste 100
Kansas City, MO 64114-4673
Mailing address
5434 S Dunrobin Dr
Springfield, MO 65809-4602
Phone (417) 631-8822
Other practice location 1
2303 S Highway 65
Marshall, MO 65340-3734
Phone (660) 886-3364
NPI Registry JSON
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1831702174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5434 S DUNROBIN DR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658094602",
"telephone_number": "417-631-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR STE 100",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144673",
"telephone_number": "816-941-9030",
"fax_number": "816-941-4416"
}
],
"practiceLocations": [
{
"address_1": "2303 S Highway 65",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "MO",
"postal_code": "653403734",
"country_code": "US",
"telephone_number": "660-886-3364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWES",
"first_name": "MARY",
"middle_name": "KATHERINE",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2020016208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
- Stephen Havener
- Samantha Haverfield
- Kelsie K Haverkamp
- Zafir A Hawa
- Emily Hawes
- Alexus Michelle Hawk
- Ray Warner Hawk
- Sondra Gaynelle Hawk
- Greta C Hawkins-Mathis
- Andrea C Hawkins
All providers in Kansas City, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.