Healthcare Provider Details

I. General information

NPI: 1295691392
Provider Name (Legal Business Name): REGAN N THOMAS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REGAN N HASTERT APRN

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST
KANSAS CITY KS
66160-8501
US

IV. Provider business mailing address

7845 SUMMIT ST
KANSAS CITY MO
64114-1743
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-85161
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: