Individual provider Active NPI

Kristin Antony, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Warrensburg, MO
National Provider Identifier
1972529709
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
74647 Issued in KS
Practice address
600 S College Ave
Warrensburg, MO 64093-2626
Phone
(660) 543-4777
Fax
(660) 543-8222
NPI assigned
Jul 14, 2006
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2018028451 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74647 KS Primary

Addresses

Primary practice location

600 S College Ave
Warrensburg, MO 64093-2626

Mailing address

757 Armstrong Ave
Kansas City, KS 66101-2701
Phone (913) 233-3300

Other identifiers 3

IdentifierTypeStateIssuer
100098080AMedicaidKS
100337780CMedicaidKS
100098080CMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antony@ucmo.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 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
I20070629000559 KS Practitioner - Nurse Practitioner 6406955533 Reassigns benefits to 2 organizations
I20200221000214 KS Practitioner - Certified Clinical Nurse Specialist (CNS) 6406955533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Layton Center IncGroup PAC ID 1557255940, 25 clinicians

Practice addresses (Care Compare)

2537 Eisenhower Rd
Ottawa, KS 66067-9482
Phone (785) 242-3780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74647KSMDPsychiatric/Mental Health Nurse Practitioner
2018028451MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Layton Center, Inc. CurrentSince Aug 24, 2017 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Feb 8, 2023 Accepting new patients
University of Central Missouri Student Health Center PastSince Aug 29, 2021 Accepting new patients

Locations

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1972529709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 ARMSTRONG AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012701",
            "telephone_number": "913-233-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932626",
            "telephone_number": "660-543-4777",
            "fax_number": "660-543-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "KRISTIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2018028451",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100337780C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antony@ucmo.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 S College Ave",
            "city": "Warrensburg",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640932626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.