Kaitlin Rebecca List, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

06190514 Issued in KS

Practice address

5555 W 58TH St
Mission, KS 66202-1999

Phone

(913) 432-2080

NPI assigned

Jun 13, 2019

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sunflower Medical Group PA

  • Internal Medicine Physician
  • Roeland Park, KS
  • NPI 1811955024
  Medicare reassignment NPD
• Sunflower Medical Group, PA

  dba Heartland Urgent Care

  • Urgent Care Clinic/Center
  • Roeland Park, KS
  • NPI 1063683902
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1952961849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W 58TH ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022722",
            "telephone_number": "913-432-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W 58TH ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021999",
            "telephone_number": "913-432-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Hutton Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661094526",
            "country_code": "US",
            "telephone_number": "913-299-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIST",
        "first_name": "KAITLIN",
        "middle_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "06190514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952961849",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sunflower",
            "affiliation": "N",
            "address_1": "5555 W 58th St",
            "city": "Mission",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662022722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Elizabeth Lee, LCSW, LSCSW
• Sharon D Lee, MD
• Marcos Lerma, D.C.
• Jennifer R Lightfoot, LMSW
• Latierra Desirae Lindsey, PMHNP-BC
• Daniel D Livingston, LMSW
• Lauren Lohff
• Robert Alexander Lopez, MFFTT
• Erin Lovewell
• Katherine Lovinger, DDS

• Family Nurse Practitioner in Mission, KS
• Providers in Mission, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.