Individual provider Active NPI

Tamra Huntsman, DNP, APRN-C

  • Adult Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1932512944
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
76554 Issued in KS
Practice address
6860 W 115TH St
Overland Park, KS 66211-2457
Phone
(913) 701-5656
NPI assigned
Jun 6, 2014
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2014016884 MO
Adult Health Nurse Practitioner 363LA2200X 76554 KS Primary

Addresses

Primary practice location

6860 W 115TH St
Overland Park, KS 66211-2457

Mailing address

6860 W 115TH St
Overland Park, KS 66211-2457
Phone (913) 701-5656

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
I20180814002118 KS Practitioner - Nurse Practitioner 4183842073 Reassigns benefits to 2 organizations
I20220218000821 MO Practitioner - Nurse Practitioner 4183842073 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014016884MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alternatives of Missouri, LLC CurrentSince Dec 1, 2021 Accepting new patients
Mid America Senior Management Aco LLC CurrentSince Jun 2, 2024 Accepting new patients
Care Alternatives of Missouri, LLC CurrentSince Dec 1, 2021 Accepting new patients
Mid America Senior Management LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

4550 W 109th St
Ste 210
Overland Park, KS 66211
Phone (913) 287-5678

5500 W 123rd St
Overland Park, KS 66209
Phone (913) 266-8454

783 NE Anderson Ln
Lees Summit, MO 64064
Phone (816) 584-8111

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

Organizations & group practices 4

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1932512944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 W 115TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112457",
            "telephone_number": "913-701-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 W 115TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112457",
            "telephone_number": "913-701-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "TAMRA",
        "credential": "DNP, APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2014016884",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "76554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.