Individual provider Active NPI

Loyce Siriba, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1922419043
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019019898 Issued in MO
Practice address
10918 Elm Ave Ste 102
Kansas City, MO 64134-2284
Phone
(816) 765-6600
Fax
(816) 767-4107
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 102403 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019019898 MO Primary

Addresses

Primary practice location

10918 Elm Ave Ste 102
Kansas City, MO 64134-2284

Mailing address

901 E 104TH Street
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916000804 MO Practitioner - Nurse Practitioner 6002145166 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102403KSMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Oct 14, 2019 Accepting new patients
St Lukes Hospital of Kansas City Past Accepting new patients

Locations

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

10918 Elm Ave
Kansas City, MO 64134
Phone (816) 765-6600

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

10918 Elm Ave
Ste 102
Kansas City, MO 64134
Phone (816) 765-6600

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: lsiriba378080@direct.saint-lukes.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1922419043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH STREET",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7117",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10918 ELM AVE STE 102",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641342284",
            "telephone_number": "816-765-6600",
            "fax_number": "816-767-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIBA",
        "first_name": "LOYCE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KS",
            "license": "102403",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019019898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.