Healthcare Provider Details

I. General information

NPI: 1871297234
Provider Name (Legal Business Name): LAUREN HAYS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6626 NALL DR
MISSION KS
66202-4327
US

IV. Provider business mailing address

4121 W 83RD ST STE 120
PRAIRIE VILLAGE KS
66208-5316
US

V. Phone/Fax

Practice location:
  • Phone: 417-299-7636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-81952-092
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95030735
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: