MRS. KELLI SUSAN FREY (NPI# 1356544050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356544050 |
| Entity Type | Individual |
| Full Name | MRS. KELLI SUSAN FREY |
| Credential | OTR |
| Practice Address |
11501 W 113th St Overland Park KS 66210-2751 |
| Practice Telephone | 9136388512 |
| Mailing Telephone | 9136388512 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 17-00806 | KS | Other Service Providers |
| N | 171W00000X | Contractor | 002354 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | O.T. STATE LICENSE | 002354 | 01 |
| KS | O.T. STATE LICENSE | 17-00806 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745209 | Kelli Ann Frey | Counselor | 523 Lenore Pl, Reading, PA 19609-1223 | 2020-09-16 |
| Street Address |
11501 W 113TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306181433 | Leslie E Laemmli | Contractor | 15635 Beverly St, Overland Park, KS 66223-3482 | 2012-11-29 |
| 1548427115 | Susan W. Docking | Contractor | 13012 W 118th Ter, Overland Park, KS 66210-3513 | 2008-05-20 |
| 1073655742 | Barbara Moore | Contractor | 10541 Goddard St, Apt. 345, Overland Park, KS 66214-3017 | 2007-02-12 |
| 1821135013 | Suzanne Marie Fuller | Contractor | 13130 Hadley St, #2011, Overland Park, KS 66213-2781 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530650 | Jacqueline Doris Lindsay | Contractor | 1430 Sw Topeka Blvd, Topeka, Kansas 66612, Topeka, KS 66601-6660 | 2020-02-21 |
| 1356884548 | Angie Harmon | Contractor | 4952 W 130th Ter, Leawood, KS 66209-1855 | 2016-11-21 |
| 1891243622 | Pamela J Black | Contractor | 903 N 3rd Ave, Minneapolis, KS 67467-1705 | 2016-09-21 |
| 1619354438 | Medisource Healthcare Solutions, Inc | Contractor | 6245 W Kollmeyer Ct, Wichita, KS 67205-5278 | 2015-04-30 |
| 1154724821 | Elizabeth Hazell | Contractor | 2021 S Apache St, Olathe, KS 66062-2979 | 2014-10-08 |
| 1558787895 | Cynthia Wingert | Contractor | 11309 W 60th St, Shawnee, KS 66203-2721 | 2014-03-11 |
| 1205267945 | Vicki Daniel | Contractor | 1421 W Marlboro St, Wichita, KS 67217-2435 | 2013-12-05 |
| 1023444981 | Hong U. Ishaku | Contractor | 2904 Crestline Dr, Lawrence, KS 66047-3065 | 2013-09-23 |
| 1477988111 | Keturah Mary Katherine Dunlap | Contractor | 3923 Lloyd St, Kansas City, KS 66103-2828 | 2013-09-12 |
| 1619242435 | Jenna K Springer | Contractor | 2633 Butterfield Rd, Manhattan, KS 66502-4463 | 2012-03-12 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.