Healthcare Provider Details

I. General information

NPI: 1164393872
Provider Name (Legal Business Name): ABIBATOU SALAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 W 95TH ST STE 205
OVERLAND PARK KS
66212-2249
US

IV. Provider business mailing address

7171 W 95TH ST STE 205
OVERLAND PARK KS
66212-2249
US

V. Phone/Fax

Practice location:
  • Phone: 913-674-0502
  • Fax: 913-674-0515
Mailing address:
  • Phone: 913-674-0502
  • Fax: 913-674-0515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2025041677
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number163108
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: