Healthcare Provider Details

I. General information

NPI: 1023319415
Provider Name (Legal Business Name): SAXTON GRAGG ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 QUIVIRA RD
OVERLAND PARK KS
66215-2306
US

IV. Provider business mailing address

2014 KASOLD DR
LAWRENCE KS
66047-2102
US

V. Phone/Fax

Practice location:
  • Phone: 913-541-5275
  • Fax:
Mailing address:
  • Phone: 913-424-2343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number5346199032
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: