MS. SARA NICOLE KOENEMANN FNP-BC NPI 1780046250

NPI Information

NPI: 1780046250
Provider Name: MS. SARA NICOLE KOENEMANN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8010 STATE LINE RD STE 100
PRAIRIE VILLAGE, KS
ZIP 66208
Phone: (816) 830-4285
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MS. Sara Nicole Koenemann, FNP-BC is a family nurse practitioner in Prairie Village, KS with 9 years of experience. MS. Sara Nicole Koenemann, FNP-BC NPI is 1780046250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8010 STATE LINE RD STE 100
PRAIRIE VILLAGE, KS
ZIP 66208-711
Phone: (816) 830-4285
Fax: (913) 400-3631

The NPI 1780046250 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2016 and was last updated on 11/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2016007832	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	53-77077-022	KANSAS	No
3	363LF0000X	Nurse Practitioner	Family	112929	NEBRASKA	No
4	363LF0000X	Nurse Practitioner	Family	4704380095	MICHIGAN	No
5	363LF0000X	Nurse Practitioner	Family	65631	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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