Active NPI
Jennifer R Latimore, ARNP
- Nurse Practitioner
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5374960022
- Practice address
- 801 N Mur Len Rd Ste 112
Olathe, KS 66062-1794 - Phone
- (913) 738-8033
- Fax
- (913) 738-8034
- NPI assigned
- Oct 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5374960022 | KS | Primary |
Addresses
Primary practice location
801 N Mur Len Rd Ste 112
Olathe, KS 66062-1794
Mailing address
2200 SW 6TH Ave Ste 104
Topeka, KS 66606-1707
Phone (785) 354-8518
Other practice location 1
11301 Nall Ave Ste 205
Leawood, KS 66211-1774
Phone (913) 451-5934
Other names 1
- Jennifer R Green
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 N Mur Len Rd
Suite 112
Olathe, KS 66062-1794
Phone (913) 738-8033
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 80.11
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 72.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5374960022 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of Kansas, LLC | Current | Accepting new patients | |
| Kansas Medical Clinic PA | Nurse Practitioner | Current | Accepting new patients |
| Kansas Medical Clinic, PA | Past | Accepting new patients |
Locations
11301 Nall Ave
Ste 205
Leawood, KS 66211
Phone (913) 451-5934
801 N Mur Len Rd
Ste 112
Olathe, KS 66062
Phone (866) 612-4815
10600 Quivira Rd
Ste 430
Overland Park, KS 66215
Phone (913) 541-3230
2200 SW 6th Ave
Ste 104
Topeka, KS 66606
Phone (785) 354-8518
2200 SW 6th Ave
Topeka, KS 66606
Phone (785) 295-0956
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJICCA
Organizations & group practices 3
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.
-
- MOHS-Micrographic Surgery Physician
- Topeka, KS
- NPI 1508877523
Nurse Practitioner
-
- Dermatology Physician
- Overland Park, KS
- NPI 1710444500
-
- Non-Pharmacy Dispensing Site
- Topeka, KS
- NPI 1467825679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1942535125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 SW 6TH AVE STE 104",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061707",
"telephone_number": "785-354-8518",
"fax_number": "785-354-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N MUR LEN RD STE 112",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621794",
"telephone_number": "913-738-8033",
"fax_number": "913-738-8034"
}
],
"practiceLocations": [
{
"address_1": "11301 Nall Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662111774",
"country_code": "US",
"telephone_number": "913-451-5934",
"fax_number": "913-451-4716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATIMORE",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "5374960022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GREEN",
"middle_name": "R",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.