Individual provider Active NPI

Christopher Muthini Kitavi, APRN FNP-BC

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1972200160
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81268 Issued in KS
Practice address
12616 W 62ND Ter Ste 112
Shawnee, KS 66216-1863
Phone
(913) 225-9785
Fax
(913) 215-9358
NPI assigned
Feb 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81268 KS Primary

Addresses

Primary practice location

12616 W 62ND Ter Ste 112
Shawnee, KS 66216-1863

Mailing address

12616 W 62ND Ter Ste 112
Shawnee, KS 66216-1863
Phone (913) 225-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81268KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Align Family Health & Wellness Center LLC Family CurrentSince Feb 12, 2023 Accepting new patients

Locations

12616 W 62nd Ter
Ste 112
Shawnee, KS 66216
Phone (913) 225-9783

12616 W 62nd Ter
Shawnee Mission, KS 66216
Phone (913) 631-0277

614 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 741-0033

Interoperability endpoints

  • Direct secure messaging: align@aligfhc.officeally.direct

Organizations & group practices 1

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1972200160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12616 W 62ND TER STE 112",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161863",
            "telephone_number": "913-225-9785",
            "fax_number": "913-215-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12616 W 62ND TER STE 112",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161863",
            "telephone_number": "913-225-9785",
            "fax_number": "913-215-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAVI",
        "first_name": "CHRISTOPHER",
        "middle_name": "MUTHINI",
        "name_prefix": "Mr.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.