Healthcare Provider Details

I. General information

NPI: 1548210057
Provider Name (Legal Business Name): JAMIE S MEHL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15113 W 121ST TER
OLATHE KS
66062-4925
US

IV. Provider business mailing address

15113 W 121ST TER
OLATHE KS
66062-4925
US

V. Phone/Fax

Practice location:
  • Phone: 913-206-9528
  • Fax: 949-909-3968
Mailing address:
  • Phone: 913-206-9528
  • Fax: 949-909-3968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number45278
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number141134
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: