Individual provider Active NPI

Alyssa Catherine Albakour, FNP

  • Primary Care Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1902372055
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
53-78375-022 Issued in KS
Practice address
2000 Olathe
Kansas City, KS 66160-3344
Phone
(913) 588-3004
NPI assigned
Oct 16, 2018
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 2018031416 MO
Primary Care Nurse Practitioner 363LP2300X 53-78375-022 KS Primary

Addresses

Primary practice location

2000 Olathe
Kansas City, KS 66160-3344

Mailing address

3825 S Noland Rd
Independence, MO 64055-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20190116004161 MO Practitioner - Nurse Practitioner 0648516302 Reassigns benefits to 1 organization
I20191023002120 KS Practitioner - Nurse Practitioner 0648516302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018031416MOMDFamily Nurse Practitioner
53-78375-022KSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Jayhawk Primary Care Inc CurrentSince Nov 4, 2019 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 8, 2019 Accepting new patients
Jayhawk Primary Care Inc Current Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Dec 19, 2018 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 8, 2019 Accepting new patients
Jayhawk Primary Care Inc CurrentSince Nov 4, 2019 Accepting new patients

Locations

2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

10787 Nall Ave
Ste 310
Overland Park, KS 66211
Phone (913) 945-6800

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1902372055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLATHE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661603344",
            "telephone_number": "913-588-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBAKOUR",
        "first_name": "ALYSSA",
        "middle_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018031416",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-78375-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.