Individual provider Active NPI

Dawn L Childs, APRN, FNP-BC

  • Family Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1912285669
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011019332 Issued in MO
Practice address
615 SW 3Rd St
Lees Summit, MO 64063-2212
Phone
(816) 524-3799
Fax
(913) 495-3727
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2011019332 MO Primary

Addresses

Primary practice location

615 SW 3Rd St
Lees Summit, MO 64063-2212

Mailing address

8550 Marshall Dr Ste 220
Lenexa, KS 66214-1505
Phone (816) 524-3799

Other names 1

  • Dawn L Gladson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals_elsc@encompassmed.direct-ci.net Direct Encompass Medical Group, PA

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
I20111007000171 MO Practitioner - Nurse Practitioner 4183896509 Reassigns benefits to 1 organization
I20260403002738 KS Practitioner - Nurse Practitioner 4183896509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encompass Medical Group PAGroup PAC ID 0143116053, 44 clinicians

Practice addresses (Care Compare)

615 SW 3Rd St
Encompass Lee'S Summit Clinic
Lees Summit, MO 64063-2212
Phone (816) 524-3799

8550 Marshall Dr
Lenexa, KS 66214-1505
Phone (816) 941-1400

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011019332MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Medical Group, PA CurrentSince Jan 1, 2012 Accepting new patients

Locations

8550 Marshall Dr
Ste 220
Overland Park, KS 66214
Phone (816) 942-8200

8550 Marshall Dr
Overland Park, KS 66214
Phone (816) 941-1400

373 W 101st Ter
Kansas City, MO 64114
Phone (816) 941-1400

615 W 3rd St
Lees Summit, MO 64063
Phone (816) 524-3799

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1912285669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "816-524-3799",
            "fax_number": "913-495-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SW 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632212",
            "telephone_number": "816-524-3799",
            "fax_number": "913-495-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "DAWN",
        "middle_name": "L",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011019332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals_elsc@encompassmed.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "Encompass Medical Group, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "615 SW 3rd St",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640632212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "GLADSON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.