Individual provider Active NPI

Jennifer R Latimore, ARNP

  • Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1942535125
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5374960022 Issued in KS
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

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000355 KS Practitioner - Nurse Practitioner 2163569732 Reassigns benefits to 1 organization

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
Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
5374960022KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Kansas, LLC CurrentSince Nov 11, 2019 Accepting new patients
Kansas Medical Clinic PA Nurse Practitioner CurrentSince Jul 10, 2023 Accepting new patients
Kansas Medical Clinic, PA PastSince Sep 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.