MEDICARE: LARISSA GASAWAY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	76601	KS
2	363L00000X	Nurse Practitioner	2021030684	MO

General Provider Information

NPI Number	:	1144610049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARISSA GASAWAY APRN

Provider Business Mailing Address
First Line	:	1923 W CATALPA ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-6017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR STE 500
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3243
Country	:	US
Telephone Number	:	816-994-0040
Fax Number	:	816-994-0044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2015
Last Update Date	:	04/14/2025

Similar Medicare Providers

1992781157 — PIERRE PODREBARAC MD
Practice Location Address:

2790 CLAY EDWARDS DR STE 500
NORTH KANSAS CITY, MO
64116-3243

Practice Phone: 816-468-8820
Practice Fax: 816-468-8898

1245670637 — DR. JAMES ALLAN GAUNT D.O.
Practice Location Address:

2790 CLAY EDWARDS DR STE 500
NORTH KANSAS CITY, MO
64116-3243

Practice Phone: 816-994-0040
Practice Fax: 816-994-0044

1427518315 — NORTHLAND HEARING CENTERS, INC.
Practice Location Address:

2790 CLAY EDWARDS DR STE 506
KANSAS CITY, MO
64116-3243

Practice Phone: 816-472-4102
Practice Fax:

1306381942 — CADDOAN DIALYSIS LLC
Practice Location Address:

2852 W 47TH AVE
KANSAS CITY, KS
66103-3243

Practice Phone: 913-403-1843
Practice Fax: 913-403-1848

1811438013 — LAUREN VICTORIA PORTER HUGHES MD
Practice Location Address:

2870 W 47TH AVE
KANSAS CITY, KS
66103-3243

Practice Phone: 913-735-3551
Practice Fax:

1811669609 — EMILIE DIEBAL
Practice Location Address:

6400 NE 52ND ST
KANSAS CITY, MO
64119-3243

Practice Phone: 816-321-5140
Practice Fax:

Directions to “ LARISSA GASAWAY APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.