Healthcare Provider Details

I. General information

NPI: 1629516646
Provider Name (Legal Business Name): LOREN MICHELLE HAYES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NE ADAMS DAIRY PKWY STE 130
BLUE SPRINGS MO
64014-5494
US

IV. Provider business mailing address

600 NE ADAMS DAIRY PKWY
BLUE SPRINGS MO
64014-5493
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-4630
  • Fax: 816-932-4631
Mailing address:
  • Phone: 816-932-4630
  • Fax: 816-932-4631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number14-134583-111
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number2010002288
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017032429
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: