Individual provider Active NPI

Tamara Suzanne De Vere, FNP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1841749835
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-77413-011 Issued in KS
Practice address
21 Corporate Woods, 10870 Benson Drive #2160
Overland Park, KS 66210
Phone
(833) 357-3227
NPI assigned
Oct 2, 2016
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-77413-011 KS Primary

Addresses

Primary practice location

21 Corporate Woods, 10870 Benson Drive #2160
Overland Park, KS 66210

Mailing address

2153 S Stagecoach Dr
Olathe, KS 66062-6702
Phone (816) 588-2045

Other practice location 1

2153 S Stagecoach Dr
Olathe, KS 66062-6702
Phone (816) 588-2045

Other practice location 2

9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471
Phone (816) 319-4785

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
I20180523002439 KS Practitioner - Nurse Practitioner 3476818345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-77413-011KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Mar 31, 2025 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

Interoperability endpoints

  • Direct secure messaging: tdevere@landmarkhealth-direct.org

Organizations & group practices 2

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": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1841749835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 S STAGECOACH DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626702",
            "telephone_number": "816-588-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CORPORATE WOODS, 10870 BENSON DRIVE #2160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "833-357-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2153 S Stagecoach Dr",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660626702",
            "country_code": "US",
            "telephone_number": "816-588-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9229 Ward Pkwy Ste 380",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641145471",
            "country_code": "US",
            "telephone_number": "816-319-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VERE",
        "first_name": "TAMARA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77413-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.