Active NPI
Kathryn C Simone, APRN
- Women's Health Nurse Practitioner
- Blue Springs, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 110444
- Practice address
- 1100 NW South Outer Rd Ste 200
Blue Springs, MO 64015-3069 - Phone
- (888) 256-3814
- Fax
- (888) 256-3814
- NPI assigned
- Aug 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 110444 | NE | Primary |
| Nurse Practitioner | 363L00000X | 110444 | NE |
Addresses
Primary practice location
1100 NW South Outer Rd Ste 200
Blue Springs, MO 64015-3069
Mailing address
1100 NW South Outer Rd Ste 200
Blue Springs, MO 64015-3069
Phone (888) 256-3814
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982714952 | Medicaid | IA | |
| 47037660412 | Medicaid | NE | |
| 0585216 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110444 | NE | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Plus, LLC | Current | Accepting new patients |
Locations
1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015
Phone (888) 256-3514
4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601
7710 Mercy Rd
Ste 130
Omaha, NE 68124
Phone (402) 502-8318
323 S 132nd St
Omaha, NE 68154
Phone (402) 330-4272
910 S 40th St
Omaha, NE 68105
Phone (402) 342-2015
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1982714952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NW SOUTH OUTER RD STE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153069",
"telephone_number": "888-256-3814",
"fax_number": "888-256-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NW SOUTH OUTER RD STE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153069",
"telephone_number": "888-256-3814",
"fax_number": "888-256-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONE",
"first_name": "KATHRYN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NE",
"license": "110444",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "110444",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982714952",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660412",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0585216",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.