Healthcare Provider Details

I. General information

NPI: 1154014751
Provider Name (Legal Business Name): LUCY MUTHONI GICHIRU PMHNP - BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SANTA FE TRAIL DR STE 109
LENEXA KS
66215-3381
US

IV. Provider business mailing address

13250 FOSTER ST APT 5302
OVERLAND PARK KS
66213-2881
US

V. Phone/Fax

Practice location:
  • Phone: 913-413-3429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-81220-111
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2024038212
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: