MEDICARE: SHAWN J. TOLIVER

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	363LF0000X	Family Nurse Practitioner	895249	NV
2	363L00000X	Nurse Practitioner	2011003651	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558668566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN J. TOLIVER

Provider Business Mailing Address
First Line	:	PO BOX 2747
Second Line	:
City	:	SHAWNEE MISSION
State	:	KS
Zip	:	66201-2747
Country	:	US
Telephone Number	:	800-968-6866
Fax Number	:	616-532-7230

Provider Business Practice Location Address
First Line	:	1000 CARONDELET DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4673
Country	:	US
Telephone Number	:	800-968-6866
Fax Number	:

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

Provider Enumeration Date	:	02/28/2011
Last Update Date	:	01/30/2026

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Directions to “ SHAWN J. TOLIVER ” Practice Location

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