MS. KELLY S TIEVES (NPI# 1598716243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598716243 |
Entity Type | Individual |
Full Name | MS. KELLY S TIEVES |
Credential | DO |
Practice Address |
2401 Gillham Rd Children's Mercy Hospital Kansas City MO 64108-4619 |
Practice Telephone | 8162343041 |
Mailing Telephone | 8162343041 |
Enumeration Date | 2006-05-15 |
Last Update Date | 2015-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
05-32228 | KS | Allopathic & Osteopathic Physicians |
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
2006034491 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32542500 | 05 | |
HUMANA | 004000215J | 01 |
Street Address |
2401 GILLHAM RD CHILDREN'S MERCY HOSPITAL |
City | KANSAS CITY |
State | MO |
Zip Code | 64108-4619 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 64108 |
Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588632681 | Sergey Shushunov | Pediatrics | Division of Pediatric Critical Care, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2006-03-14 |
1174966055 | Stephen Pfeiffer | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-10 |
1992070189 | Sarah Devlin Brunner | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-03-20 |
1255631867 | Hammad Ashraf Ganatra | Pediatrics | 3901 Rainbow Blvd, Miller 2023, Kansas City, KS 66160 | 2010-10-29 |
1376785840 | Jay Frederick Rilinger | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-03-30 |
1144438250 | Francesca Perez Marques | Pediatrics | 3901 Rainbow Blvd, M 2023, Kansas City, KS 66160-8500 | 2007-05-21 |
1760510572 | Brian Stevens Olsen | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-03-01 |
1497705933 | Geoffrey L Allen | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-12 |
1356391189 | John Fred Sommerauer | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-11 |
1053369686 | Stephen A Klem | Pediatrics | 2401 Gillham Rd, Children's Mercy Hospital, Kansas City, MO 64108-4619 | 2006-05-05 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64108 |
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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.