Active NPI
Gretchen Davis, FNP-C
- Family Nurse Practitioner
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015011913
- Practice address
- 3066 SW Grandstand Cir
Lees Summit, MO 64081-3866 - Phone
- (913) 215-5008
- Fax
- (816) 447-3960
- NPI assigned
- Apr 23, 2015
- Last updated
- Nov 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015011913 | MO | Primary |
Addresses
Primary practice location
3066 SW Grandstand Cir
Lees Summit, MO 64081-3866
Mailing address
PO Box 875743
Kansas City, MO 64187-5743
Phone (913) 215-5008
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276
600 NE Meadowview Dr
Lee's Summit, MO 64064-1983
Phone (816) 554-9866
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015011913 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services Mo LLC | Current | Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients | |
| Complete Coverage LLC | Past | Accepting new patients |
Locations
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
600 NE Meadowview Dr
Lees Summit, MO 64064
Phone (816) 554-9866
2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lee's Summit, MO
- NPI 1194422253
-
dba Elite Patient Care
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1306165337
-
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1467725341
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Independence, MO
- NPI 1790053932
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Hospital
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1891182267",
"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",
"telephone_number": "913-215-5008",
"fax_number": "816-447-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3066 SW GRANDSTAND CIR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813866",
"telephone_number": "913-215-5008",
"fax_number": "816-447-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GRETCHEN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2015011913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.