KELLY R FRITZ (NPI# 1679566913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679566913 |
| Entity Type | Individual |
| Full Name | KELLY R FRITZ |
| Credential | PNP |
| Practice Address |
1600 Nw South Outer Rd Blue Springs MO 64015-2963 |
| Mailing Address |
1425 Nw Blue Pkwy Lees Summit MO 64086-5705 |
| Practice Telephone | 8165243223 |
| Practice Fax Number | 8165252697 |
| Mailing Telephone | 8165243223 |
| Mailing Fax Number | 8165252697 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2011-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
089300 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457773301 | Kelly Fritz | Physical Therapist | 126 Main St Ste 3, Topsham, ME 04086 | 2014-01-13 |
| 1639785058 | Kelly Fritz | Pharmacist | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2020-09-21 |
| 1033722590 | Kelly D Fritz | Counselor | 1208 E Churchville Rd Ste 300, Bel Air, MD 21014-3485 | 2020-08-25 |
| 1225534548 | Kelly A. Fritz | Technician, Other | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-04-04 |
| 1649279688 | Kelly Fritz | Surgery | 25480 Point Lookout Rd, Leonardtown, MD 20650-3801 | 2005-07-20 |
| Street Address |
1600 NW SOUTH OUTER RD |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076278 | Bryan L Phillips | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2005-07-08 |
| 1689139503 | Anne Bennett | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2019-02-05 |
| 1215376314 | Kimberly Nicole Mcnerney | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2013-06-21 |
| 1528329083 | Andrew Charles Huss | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2012-05-31 |
| 1225335250 | Lee's Summit Physicians Group | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2011-02-28 |
| 1447425962 | Cynthia Marquelle Dean | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215322680 | Amanda Jo Dumers | Nurse Practitioner | 205 W Rd Mize Rd Ste 300, Blue Springs, MO 64014-2520 | 2015-04-02 |
| 1609859933 | Amy Michelle Maccuish | Nurse Practitioner | 205 Nw R D Mize Rd, Suite 304, Blue Springs, MO 64014 | 2005-11-21 |
| 1689139503 | Anne Bennett | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2019-02-05 |
| 1659811222 | Natalie K Elzinga | Nurse Practitioner | 205 Nw R D Mize Rd, Ste 304, Blue Springs, MO 64014-2515 | 2017-03-02 |
| 1629517107 | Cockerell & Mcintosh Pediatrics, PC | Nurse Practitioner | 205 Nw R D Mize Rd, Ste 304, Blue Springs, MO 64014-2515 | 2017-02-17 |
| 1215376314 | Kimberly Nicole Mcnerney | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2013-06-21 |
| 1164406260 | Deana J Raby | Nurse Practitioner | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-12-01 |
| 1326046806 | Shannon S Mcintosh | Nurse Practitioner | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
Please comment or provide details below to improve the information on KELLY R FRITZ.
| 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.