Healthcare Provider Details

I. General information

NPI: 1649868027
Provider Name (Legal Business Name): CHRISTINA DENISE LAYTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8005 W 110TH ST STE 204
OVERLAND PARK KS
66210-2619
US

IV. Provider business mailing address

8005 W 110TH ST STE 204
OVERLAND PARK KS
66210-2619
US

V. Phone/Fax

Practice location:
  • Phone: 913-450-5879
  • Fax:
Mailing address:
  • Phone: 913-450-5879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2020016758
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number80184
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: