Healthcare Provider Details

I. General information

NPI: 1093520918
Provider Name (Legal Business Name): SHARESE YOUNT PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 W 110TH ST STE 270
OVERLAND PARK KS
66210-2468
US

IV. Provider business mailing address

233 E MAIN ST STE 401
BOZEMAN MT
59715-5045
US

V. Phone/Fax

Practice location:
  • Phone: 913-346-6300
  • Fax:
Mailing address:
  • Phone: 406-840-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2025008228
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-84263-052
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number2014024313
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: