ENVISION HEALTHCARE PROFESSIONAL SERVICES LLC
NPI 1174307144
Point of Service in Olathe, KS

Active since August 22, 2023
12974 S WIDMER ST, OLATHE, KS 66062(913) 548-6129 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Envision Healthcare Professional Services Llc NPPES

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

ENVISION HEALTHCARE PROFESSIONAL SERVICES LLC (NPI 1174307144) is a healthcare organization registered as a point of service in Olathe, Kansas and active in the NPI registry since August 2023. The organization lists Abigael Obonyo Makori-malinda, Fnp-bc, as its authorized official.

NPPES Registry Identity

NPI1174307144
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameENVISION HEALTHCARE PROFESSIONAL SERVICES LLC
Location Address12974 S WIDMER STOlathe, KS 66062-8814
Mailing Address12974 S Widmer StOlathe, KS 66062-8814 · (913) 548-6129
Organization SubpartNo
Authorized OfficialAbigael Obonyo Makori-malindaFnp-bc · (913) 548-6129
Enumeration DateAugust 22, 2023
NPPES CertifiedJuly 26, 2023
NPI 1174307144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
12974 S WIDMER ST, Olathe, KS 66062

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
12974 S WIDMER ST
OLATHE, KS 66062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Envision Healthcare Professional Services LLC's NPI number?

The NPI number for Envision Healthcare Professional Services LLC is 1174307144. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Envision Healthcare Professional Services LLC located?

Envision Healthcare Professional Services LLC is located at 12974 S Widmer St, Olathe, KS 66062. The listed phone number is (913) 548-6129.

What is Envision Healthcare Professional Services LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Envision Healthcare Professional Services LLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.