Tammy Rayann Minshall, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017020879 Issued in MO

Practice address

400 SW Longview Blvd Ste 200
Lees Summit, MO 64081-2116

Phone

(913) 215-5008

Fax

(913) 297-1202

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Curana Health of Missouri-Kansas LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1306165337
  Medicare reassignment

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1851821987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875743",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641875743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812116",
            "telephone_number": "913-215-5008",
            "fax_number": "913-297-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSHALL",
        "first_name": "TAMMY",
        "middle_name": "RAYANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017020879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Millward, DPM
• Mind Shield and Sword Therapy, LLC
• Mine Divine Health LLC
• Kevin Ray Minnick, DPT
• Angela Wozniak Minor, PHD
• Mint Dental Summit LLC
• Mohammed Azher Mirza, MD
• Robin Sophia Mishler, CCC-SLP
• Missouri CVS Pharmacy LLC
• Missouri CVS Pharmacy LLC

• Family Nurse Practitioner in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.