Healthcare Provider Details

I. General information

NPI: 1689178550
Provider Name (Legal Business Name): SHARON SUE MEEDS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13725 METCALF AVE # 12
OVERLAND PARK KS
66223-7899
US

IV. Provider business mailing address

13725 METCALF AVE # 12
OVERLAND PARK KS
66223-7899
US

V. Phone/Fax

Practice location:
  • Phone: 913-777-4097
  • Fax: 888-910-7050
Mailing address:
  • Phone: 913-777-4097
  • Fax: 888-910-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018010811
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number77796
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: