CARE BEYOND THE BOULEVARD
NPI 1568040566
Nurse Practitioner - Primary Care in Kansas City, KS

Active since March 31, 2021CLIA 26D2264838 · Waiver
3150 FIBERGLASS RD, KANSAS CITY, KS 66115(913) 291-2273 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 1, 2023, Mar 31, 2021 (2 updates tracked since 2021).

About Care Beyond The Boulevard NPPES

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

CARE BEYOND THE BOULEVARD (NPI 1568040566) is a healthcare organization registered as a primary care in Kansas City, Kansas and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through July 19, 2028, maintains 2 additional practice locations, and lists Jaynell Assman, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1568040566
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCARE BEYOND THE BOULEVARD
Location Address3150 FIBERGLASS RDKansas City, KS 66115
Mailing Address3150 Fiberglass RdKansas City, KS 66115 · (913) 291-2273
Organization SubpartNo
Authorized OfficialJaynell AssmanFounder/ceo · (913) 291-2273
Enumeration DateMarch 31, 2021
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1568040566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
3150 FIBERGLASS RD, Kansas City, KS 66115

Secondary Practice Locations 2

Location 13617 N 112th TerKansas City, KS 66109-3445 · Phone (701) 484-2273
Location 23308 E 12th StKansas City, MO 64127-1437 · Phone (701) 484-2273

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2264838

Care Beyond The Boulevard · Kansas City, MO
Active · expires Jul 19, 2028
CLIA Number26D2264838
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorJaynell K. Assmann
Laboratory Phone(701) 484-2273
Laboratory LocationCare Beyond The Boulevard606 Gladstone Ave, Kansas City, MO 64124
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
3150 FIBERGLASS RD
KANSAS CITY, KS 66115

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 Care Beyond The Boulevard's NPI number?

The NPI number for Care Beyond The Boulevard is 1568040566. It was assigned to this organization in the NPPES registry on March 31, 2021.

Where is Care Beyond The Boulevard located?

Care Beyond The Boulevard is located at 3150 Fiberglass Rd, Kansas City, KS 66115. The listed phone number is (913) 291-2273.

What is Care Beyond The Boulevard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Care Beyond The Boulevard hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2264838) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Care Beyond The Boulevard was last updated on November 1, 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.