Individual provider Active NPI

Kortnie Duthoo, FNP-C

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1891440608
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5380700021 Issued in KS
Practice address
1420 S 42ND St
Kansas City, KS 66106-1952
Phone
(913) 831-1100
Fax
(913) 831-0827
NPI assigned
Feb 21, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 2021035675 MO
Family Nurse Practitioner 363LF0000X 5380700021 KS Primary

Addresses

Primary practice location

1420 S 42ND St
Kansas City, KS 66106-1952

Mailing address

2101 Prairie Creek Dr
Kearney, MO 64060-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20220520000902 KS Practitioner - Nurse Practitioner 0446637037 Reassigns benefits to 1 organization
I20230721000141 MO Practitioner - Nurse Practitioner 0446637037 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Specialty Associates of Missouri LLCGroup PAC ID 2860874831, 39 clinicians
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians
Liberty Hospital Urgent Care, LLCGroup PAC ID 3375866163, 14 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000

8300 N Church Rd
Kansas City, MO 64158-1104
Phone (816) 407-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5380700021KSMDFamily Nurse Practitioner
2021035675MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC CurrentSince Apr 1, 2023 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jun 1, 2022 Accepting new patients
Liberty Hospital Urgent Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
University Health Physicians CurrentSince Nov 10, 2023 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jun 1, 2022 Accepting new patients
New Liberty Hospital Corporation PastSince Sep 1, 2025 Accepting new patients
Spectrum Private Care Services, LLC PastSince Jun 29, 2025 Accepting new patients

Locations

1420 S 42nd St
Kansas City, KS 66106
Phone (913) 831-1100

8101 Parallel Pkwy
Ste 100
Kansas City, KS 66112
Phone (913) 299-9200

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 651-3300

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

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

2301 Holmes St
Kansas City, MO 64108

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

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

Interoperability endpoints

  • Direct secure messaging: kortnie.duthoofnpc.p11@direct.nlhc.nextgenshare.com

Organizations & group practices 8

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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1891440608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PRAIRIE CREEK DR",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640607628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S 42ND ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661061952",
            "telephone_number": "913-831-1100",
            "fax_number": "913-831-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTHOO",
        "first_name": "KORTNIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021035675",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5380700021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.