Individual provider Active NPI

Kristine Luella Rains, APRN

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1841531282
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79468-091 Issued in KS
Practice address
10550 Marty St Ste 201
Overland Park, KS 66212-2557
Phone
(913) 341-4000
Fax
(913) 383-2868
NPI assigned
Mar 11, 2013
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14-143751-091 KS
Registered Nurse 163W00000X 2016002931 MO
Family Nurse Practitioner 363LF0000X 2020013780 MO
Family Nurse Practitioner 363LF0000X 53-79468-091 KS Primary

Addresses

Primary practice location

10550 Marty St Ste 201
Overland Park, KS 66212-2557

Mailing address

10550 Marty St Ste 201
Overland Park, KS 66212-2557
Phone (913) 341-4000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201019002422 KS Practitioner - Nurse Practitioner 1951721646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-143751-091KSMDRegistered Nurse
2016002931MOMDRegistered Nurse
53-79468-091KSMDFamily Nurse Practitioner
2020013780MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louay K. Sabih, LLC CurrentSince Sep 23, 2020 Accepting new patients
Miami County Medical Center Inc. CurrentSince Mar 14, 2022 Accepting new patients
Miami County Medical Center Inc. CurrentSince Mar 14, 2022 Accepting new patients
Miami County Medical Center Inc Current Accepting new patients
Medical Specialists PA PastSince Nov 15, 2020 Accepting new patients

Locations

102 Crestview Cir
Louisburg, KS 66053
Phone (913) 837-4299

10550 Marty St
Ste 201
Overland Park, KS 66212

2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327

12100 W 109th St
Shawnee Mission, KS 66210
Phone (913) 469-4210

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, 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": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1841531282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 MARTY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122557",
            "telephone_number": "913-341-4000",
            "fax_number": "913-383-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 MARTY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122557",
            "telephone_number": "913-341-4000",
            "fax_number": "913-383-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINS",
        "first_name": "KRISTINE",
        "middle_name": "LUELLA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-143751-091",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2016002931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020013780",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79468-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.