MRS. MARY REBECCA KELLAM-UPTON (NPI# 1134192925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134192925 |
| Entity Type | Individual |
| Full Name | MRS. MARY REBECCA KELLAM-UPTON |
| Other Name | MARY REBECCA KELLAM |
| Credential | MSN, FNP |
| Practice Address |
2316 E Meyer Blvd Kansas City MO 64132-1136 |
| Practice Telephone | 8162764700 |
| Practice Fax Number | 8162764700 |
| Mailing Telephone | 8162764700 |
| Mailing Fax Number | 8162763810 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
45130 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
079829 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2316 E MEYER BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64132-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265960 | Dion Carlo Depaolis | Radiology | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2005-06-14 |
| 1831700236 | Lisa Michelle Perrett | Nurse Anesthetist, Certified Registered | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-08-11 |
| 1598375636 | Rachel C Arrow | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-08-04 |
| 1073138962 | Jennifer Mary Thompson | Dietitian, Registered | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-06-16 |
| 1073136503 | Zankhana Bhakta | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-19 |
| 1740803261 | Jon Kevin Jones | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-19 |
| 1932721560 | Rebekah A Sukolics | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-18 |
| 1437772092 | Emily Kujawa | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-05-18 |
| 1417579368 | Jacob Daniel Carlson | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-05-14 |
| 1104448943 | Nicole Lynn Wickoren | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245681 | Fit 2 Fight Training, LLC | Student in an Organized Health Care Education/Training Program | 4228 E 68th Street, Kansas City, MO 64132 | 2015-01-12 |
| 1811309453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Meyer Blvd Ste 103, Kansas City, MO 64132 | 2014-06-02 |
| 1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1659453546 | Kristine D Mall | Nurse Practitioner | 2330 E Meyer Blvd Ste 101, Kansas City, MO 64132 | 2006-10-19 |
| 1659474138 | James W Rosher | Anesthesiology | 1800 East Meyer Blvd, Kansas City, MO 64132 | 2006-09-07 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1548299621 | Frederic L Seligson | Specialist | 2340 E. Meyer Blvd, Bldg 2, Suite 382, Kansas City, MO 64132 | 2006-07-01 |
| 1063458610 | Midwest Radiology Inc | Specialist | 2316 East Meyer Blvd., Research Hospital, Kansas City, MO 64132 | 2006-06-21 |
| Find all providers in zip 64132 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
| 1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
| 1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
| 1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
| 1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
| 1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
| 1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64132 |
Please comment or provide details below to improve the information on MRS. MARY REBECCA KELLAM-UPTON.
| 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.