Active NPI
Victoria Raynor, FNP-BC
- Family Nurse Practitioner
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5375827
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5375827 | KS | MD | Family Nurse Practitioner |
| 2013004688 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Carenow Urgent Care LLC | Current | Accepting new patients | |
| Carespot Professional Services LLC | Current | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Current | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Shawnee, KS
- NPI 1942317854
-
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1568703783
-
- Radiology Clinic/Center
- Roeland Park, KS
- NPI 1578178521
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1346783008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.