Individual provider Active NPI

Ezenwa Kevin Osuala, ARNP

  • Family Nurse Practitioner
  • Independence, MO
National Provider Identifier
1851795090
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014034210 Issued in MO
Practice address
19600 E 39TH St S
Independence, MO 64057-2301
Phone
(816) 698-7000
NPI assigned
Oct 17, 2014
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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 110032 KS
Family Nurse Practitioner 363LF0000X 2014034210 MO Primary

Addresses

Primary practice location

19600 E 39TH St S
Independence, MO 64057-2301

Mailing address

4600 College Blvd
Ste 103
Overland Park, KS 66211-1606
Phone (913) 215-5008

Other practice location 1

11227 Lakeview Ave
Lenexa, KS 66219-1399
Phone (913) 730-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110032KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Kansas PA CurrentSince Jan 3, 2026 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Jan 3, 2026 Accepting new patients

Locations

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

9701 Monrovia St
Overland Park, KS 66215
Phone (913) 492-1130

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1851795090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 COLLEGE BLVD",
            "address_2": "STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111606",
            "telephone_number": "913-215-5008",
            "fax_number": "913-297-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "816-698-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11227 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662191399",
            "country_code": "US",
            "telephone_number": "913-730-1100",
            "fax_number": "913-730-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSUALA",
        "first_name": "EZENWA",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "110032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014034210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.