Organization Active NPI

Seastnan Medical, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Overland Park, KS
National Provider Identifier
1881955250
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
SEASTNAN MEDICAL, LLC
Practice address
6400 W 95TH St
Overland Park, KS 66212-1433
Phone
(816) 777-7402
NPI assigned
Jun 1, 2012
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Olivia FisherNPI 1639492648
Title
Owner and Ceo
Phone
(913) 461-5674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU Primary

Addresses

Primary practice location

6400 W 95TH St
Overland Park, KS 66212-1433

Mailing address

PO Box 7287
Kansas City, MO 64113-0287
Phone (816) 777-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251006000718 KS Part B Supplier - Clinic/Group Practice 5496259368 Receives reassigned benefits from 4 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

6400 W 95th St
Ste 100
Overland Park, KS 66212
Phone (816) 777-7402

107 W 63rd St
Kansas City, MO 64113
Phone (816) 777-7402

2330 E Meyer Blvd
Ste 107
Kansas City, MO 64132
Phone (816) 361-8684

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1881955250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7287",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641130287",
            "telephone_number": "816-777-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121433",
            "telephone_number": "816-777-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASTNAN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "913-461-5674"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.