Healthcare Provider Details

I. General information

NPI: 1437582160
Provider Name (Legal Business Name): ETHAN THOMAS HAMPTON MSN,RN,FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 SW 6TH AVE
TOPEKA KS
66606-1696
US

IV. Provider business mailing address

2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY MO
64116-3254
US

V. Phone/Fax

Practice location:
  • Phone: 785-270-8605
  • Fax:
Mailing address:
  • Phone: 816-691-5287
  • Fax: 816-346-7690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-78523
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2013027911
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: