Provider Demographics
NPI:1154513562
Name:TURNER, TOBY ANN (ARNP)
Entity type:Individual
Prefix:
First Name:TOBY
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TOBY
Other - Middle Name:ANN
Other - Last Name:NEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:403 W 68TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-1918
Mailing Address - Country:US
Mailing Address - Phone:816-550-1036
Mailing Address - Fax:
Practice Address - Street 1:9393 W 110TH ST STE 500527
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1442
Practice Address - Country:US
Practice Address - Phone:913-800-6971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO051301363LA2200X
KS75686363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO427992318Medicaid
KS200537010CMedicaid
MO427992318Medicaid
MOMA4233001Medicare PIN
KS200537010CMedicaid