Individual provider Active NPI

Sarah Jeannette Gulledge, FNP-C

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1851784805
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2015006327 Issued in MO
Practice address
930 Carondelet Dr
Suite 201
Kansas City, MO 64114-4855
Phone
(816) 941-2222
Fax
(816) 941-2282
NPI assigned
Mar 16, 2015
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2015006327 MO Primary
Family Health Clinical Nurse Specialist 364SF0001X 2015006327 MO
Registered Nurse 163W00000X 14-128690-062 KS
Registered Nurse 163W00000X 2009004805 MO

Addresses

Primary practice location

930 Carondelet Dr
Suite 201
Kansas City, MO 64114-4855

Mailing address

930 Carondelet Dr
Suite 201
Kansas City, MO 64114-4855
Phone (816) 941-2222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SARAH.GULLEDGE@hca2.eclinicaldirectplus.com

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
I20150428000686 MO Practitioner - Nurse Practitioner 4486973336 Reassigns benefits to 1 organization
I20180830001811 KS Practitioner - Nurse Practitioner 4486973336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Medical Specialists LLCGroup PAC ID 6002903390, 3 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 942-4400

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (816) 276-9221

10600 Quivira Rd
Suite 410
Overland Park, KS 66215-2312
Phone (913) 274-2600

10730 Nall Ave
100 South Kansas City Surgery Center
Overland Park, KS 66211-1242
Phone (913) 901-9000

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

6400 Prospect Ave
Suite 316
Kansas City, MO 64132-4170
Phone (913) 599-3828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-128690-062KSMDRegistered Nurse
2009004805MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Medical Specialists, LLC CurrentSince Jul 6, 2019 Accepting new patients

Locations

1803 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2340 E Meyer Blvd
Ste 316
Kansas City, MO 64132
Phone (816) 363-2559

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

Interoperability endpoints

  • Direct secure messaging: sarah.gulledge@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1851784805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-941-2222",
            "fax_number": "816-941-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-941-2222",
            "fax_number": "816-941-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEDGE",
        "first_name": "SARAH",
        "middle_name": "JEANNETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015006327",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MO",
            "license": "2015006327",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-128690-062",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009004805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SARAH.GULLEDGE@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "930 Carondelet Dr",
            "address_2": "SUITE 201",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641144855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.