Healthcare Provider Details

I. General information

NPI: 1558737874
Provider Name (Legal Business Name): MEGAN AUGUSTINE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5506 CORPORATE DR STE 1600
SAINT JOSEPH MO
64507-7765
US

IV. Provider business mailing address

210 NE TUDOR RD
LEES SUMMIT MO
64086-5696
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-7848
  • Fax: 816-271-7751
Mailing address:
  • Phone: 888-256-3814
  • Fax: 888-256-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2015028835
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-84874-091
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: