Healthcare Provider Details

I. General information

NPI: 1841118692
Provider Name (Legal Business Name): SAMPADA KHADKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 W 165TH ST
OVERLAND PARK KS
66223-2925
US

IV. Provider business mailing address

16772 S SKYVIEW LN
OLATHE KS
66062-3710
US

V. Phone/Fax

Practice location:
  • Phone: 913-373-2000
  • Fax:
Mailing address:
  • Phone: 816-328-3573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-86045-051
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number14159567051
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: