Healthcare Provider Details

I. General information

NPI: 1861357402
Provider Name (Legal Business Name): JESSICA THAYNE HYER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10585 W 157TH TER
OVERLAND PARK KS
66221-9345
US

IV. Provider business mailing address

10585 W 157TH TER
OVERLAND PARK KS
66221-9345
US

V. Phone/Fax

Practice location:
  • Phone: 801-369-7167
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number165554
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: