LILLY MAY HAVENER NP - NPI 1043881543 - Nurse Practitioner in Kansas City, MO

Q: What is Lilly Havener's NPI number?

The NPI number for Lilly Havener is 1043881543. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Lilly Havener's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lilly Havener was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Lilly May Havener Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLY MAY HAVENER NP (NPI 1043881543) is an individual nurse practitioner in Kansas City, Missouri, licensed in Kansas (83-80260-101) and active in the NPI registry since July 2021. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1043881543

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLILLY MAY HAVENERCredential: NP

Location Address1000 CARONDELET DR STE 201BKansas City, MO 64114-4673

Mailing Address201 Nw R.d. Mize Rd, Provider Enrollment Suite 210Blue Springs, MO 64014

Phone(913) 956-2250

Fax(913) 956-2251

Sole ProprietorNo

Enumeration DateJuly 6, 2021

Last NPPES UpdateSeptember 3, 2021

NPPES CertifiedSeptember 3, 2021

✔ NPI 1043881543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KS · 83-80260-101

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1000 CARONDELET DR STE 201B, Kansas City, MO 64114

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Secondary Practice Locations 5

Location 110500 Quivira RdOverland Park, KS 66215-2306 · Phone (913) 541-5000

Location 24700 Indian Creek PkwyOverland Park, KS 66207-4068 · Phone (913) 890-8400

Location 36509 W 103rd StOverland Park, KS 66212-1728 · Phone (913) 649-3701

Location 45401 W 143rd StLeawood, KS 66224-9505 · Phone (913) 249-3600

Location 55721 W 119th StOverland Park, KS 66209-3722 · Phone (913) 498-6000

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA KAY SELLERS FNP-BC

Nurse Practitioner (Family)