Individual provider Active NPI

Victoria Raynor, FNP-BC

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1851632582
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5375827 Issued in KS
Practice address
14955 W 151St St
Olathe, KS 66062-3110
Phone
(913) 323-8890
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 2013004688 MO
Family Nurse Practitioner 363LF0000X 5375827 KS Primary

Addresses

Primary practice location

14955 W 151St St
Olathe, KS 66062-3110

Mailing address

PO Box 505321
Saint Louis, MO 63150-5321
Phone (816) 502-7000

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
I20130924000792 MO Practitioner - Nurse Practitioner 6709020126 Reassigns benefits to 1 organization
I20130925000116 KS Practitioner - Nurse Practitioner 6709020126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

8951 State Line Rd
Kansas City, MO 64114-3231
Phone (913) 305-3167

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5375827KSMDFamily Nurse Practitioner
2013004688MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Mar 18, 2024 Accepting new patients
Carespot Professional Services LLC CurrentSince Aug 4, 2015 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Dec 6, 2022 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Dec 6, 2022 Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Past Accepting new patients

Locations

14744 W 119th St
Olathe, KS 66062
Phone (913) 839-1759

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

9099 W 135th St
Overland Park, KS 66221
Phone (913) 373-2230

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: vraynor73781@direct.saint-lukes.org

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1851632582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505321",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505321",
            "telephone_number": "816-502-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14955 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623110",
            "telephone_number": "913-323-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013004688",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5375827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.