Healthcare Provider Details

I. General information

NPI: 1679192967
Provider Name (Legal Business Name): SARAH L GILLILAND FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E LOULA ST
OLATHE KS
66061-5404
US

IV. Provider business mailing address

13595 S SPOON CREEK RD
OLATHE KS
66061-9070
US

V. Phone/Fax

Practice location:
  • Phone: 913-780-8231
  • Fax:
Mailing address:
  • Phone: 816-591-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-80403-051
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: