KELLY ELISE PATTERSON


Address: 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619
Phone: 8167015200

KELLY ELISE PATTERSON (NPI# 1487037032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487037032
Entity Type Individual
Full Name KELLY ELISE PATTERSON
Other Name KELLY ELISE WALTHER
Credential APRN
Practice Address 2401 Gillham Rd
Provider Enrollment
Kansas City
MO 64108-4619
Practice Telephone 8167015200
Practice Fax Number 8163029939
Mailing Telephone 8167015200
Mailing Fax Number 8163029939
Enumeration Date 2015-07-01
Last Update Date 2018-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 77574 KS Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner TMP 154150 KS Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner 2015020490 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY PATTERSON

NPI Name Taxonomy Address Enumeration
1497221444 Kelly Patterson Home Health Aide 14901 Ne 7th Ct, Miami, FL 33161-2225 2018-10-17
1174858799 Kelly J Patterson Physical Therapy Assistant 1100 Pennyroyal Ln, Celina, OH 45822-3134 2009-10-15
1851432645 Kelly Drake Patterson Speech-Language Pathologist 1504 Highland Dr, Cedar Park, TX 78613-6827 2007-02-12
1235795238 Kelly Patterson Counselor 22 Saint John St, Monticello, NY 12701-2118 2019-05-15
1447775887 Kelly Patterson Physician Assistant 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 2017-08-07
1881058055 Kelly Elizabeth Patterson Pediatrics 500 University Dr, Hershey, PA 17033-2360 2016-04-13
1710340393 Kelly Patterson Nurse Practitioner 2195 Harrodsburg Rd, Suite 125, Lexington, KY 40504-3504 2016-04-01
1841681723 Kelly Patterson Nurse Practitioner 1000 S 12th St, Murray, KY 42071-9303 2015-02-12
1235429069 Kelly Mcnamara Patterson Family Medicine 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 2011-04-13
1376589093 Kelly Butler Patterson Emergency Medicine 2018 W Clinch Ave, Knoxville, TN 37916-2301 2006-06-21

Office Location

Street Address 2401 GILLHAM RD
PROVIDER ENROLLMENT
City KANSAS CITY
State MO
Zip Code 64108-4619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114921533 Brent Ellis Cully Radiology 2401 Gillham Rd, Kansas City, MO 64108-4619 2005-06-13
1649878265 Noelle Elise St. Jacques Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-10-15
1376150243 Casey M Bradshaw Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-25
1457967606 Jennifer Coil Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-22
1396359923 Kelli Nicole Ayars Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-01
1407460058 Eric Bowles Health Educator 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-09-01
1740892504 Katlyn Kelley Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-21
1528670759 Sarah Carstensen Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-19
1619588373 Kacie E Cass Health Educator 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-14
1932719259 Maureen Elizabeth Guignon Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2020-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194345561 Diversity Telehealth, LLC Health Educator 1601 East 18th Street, 320a, Kansas City, MO 64108 2020-04-25
1447894092 Claire-louise Sophia Young Student in an Organized Health Care Education/Training Program Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 2019-11-06
1053962415 Kymberly Kline Behavior Technician Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 2019-09-26
1841854643 Mallak Ahmed Ghozlan Zatreh Student in an Organized Health Care Education/Training Program 2301 Homes Street, Kansas City, MO 64108 2019-04-26
1003470881 Sindhuja Palle Internal Medicine Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 2019-04-26
1467016253 Osama Mahmoud Okasha Internal Medicine Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 2019-04-26
1730643719 Michele D Smith Registered Nurse 2101 Charlotte Street, Urology, Kansas City, MO 64108 2019-01-24
1437640414 Omar Fayez Ahmad Abuqamar Student in an Organized Health Care Education/Training Program Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 2018-05-24
1992200190 Hannah Rebekah Hurst Student in an Organized Health Care Education/Training Program 2101 Charlotte St Ste 200, Kansas City, MO 64108 2018-03-28
1659873404 William Andrew Carroll Chiropractor 313 E. 17th St. #210, Kansas City, MO 64108 2018-03-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275153322 Farhiya A. Alew Nurse Practitioner 2319 E 12th St, Kansas City, MO 64127-1246 2020-04-19
1932739620 Kristin Ann Cecil Nurse Practitioner 2330 E Meyer Blvd # 401, Kansas City, MO 64132-1132 2020-01-22
1255977153 Whitney Patrice Williams Nurse Practitioner 5913 Larson Ave, Kansas City, MO 64133-4520 2019-11-26
1619513819 Dene' Beck Nurse Practitioner 8941 Ne 116th Pl, Kansas City, MO 64157-8122 2019-11-22
1023659794 Mason T Murski Nurse Practitioner 3901 Rainbow Blvd Ste 2017, Kansas City, KS 66160-8500 2019-10-03
1154896116 Amy Callaway Carpenter Nurse Practitioner 1201 Nw Briarcliff Pkwy Ste 125, Kansas City, MO 64116-1774 2018-10-05
1740760305 Lauren Patricia Divine-thiele Nurse Practitioner 400 Cambridge St, Kansas City, KS 66160-0001 2018-08-14
1932686300 Kenzie Chew Nurse Practitioner 2330 E Meyer Blvd Ste T503, Kansas City, MO 64132-1152 2018-07-27
1457850497 Brandi Samson Nurse Practitioner 8607 Summit St, Kansas City, MO 64114-2866 2018-02-05
1700394699 Laura Ann Agee Nurse Practitioner 9151 Ne 81st Ter Ste 105, Kansas City, MO 64158-1176 2018-01-13
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Competitor

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City KANSAS CITY
Zip Code 64108

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Dataset Information

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.

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