KELLY R. PHILLIPS (NPI# 1407453178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407453178 |
| Entity Type | Individual |
| Full Name | KELLY R. PHILLIPS |
| Credential | LMSW |
| Practice Address |
3801 Blue Pkwy Kansas City MO 64130-2807 |
| Practice Telephone | 8169235800 |
| Mailing Telephone | 8165995267 |
| Mailing Fax Number | 8165995951 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2020018075 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE | 2020018075 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305678 | Kelly Phillips | Occupational Therapist | 6447 Springfield Blvd, Oakland Gardens, NY 11364-2337 | 2020-08-05 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1104118355 | Kelly M Phillips | Veterinarian | 1808 S Randall Rd, Algonquin, IL 60102-5925 | 2011-05-06 |
| 1083857064 | Kelly Phillips | Registered Nurse | 10 Upland Rd, Belmont, MA 02478-2302 | 2009-04-07 |
| 1467662106 | Kelly G Phillips | Marriage & Family Therapist | 1035a Director Ct, Greenville, NC 27858-5996 | 2007-05-23 |
| 1073593349 | Kelly Phillips | Family Medicine | 821 N. Coleman St., 100, Prosper, TX 75078 | 2006-01-20 |
| 1871192906 | Kelly Phillips | Social Worker | 203 East St, Easthampton, MA 01027-1234 | 2020-10-20 |
| 1518595859 | Kelly Phillips | Student in an Organized Health Care Education/Training Program | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2020-03-31 |
| 1619536513 | Kelly M Phillips | Speech-Language Pathologist | 889 N Aurora Rd, Aurora, OH 44202-9537 | 2019-06-13 |
| 1922586999 | Kelly Marie Phillips | Counselor | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-08-01 |
| Street Address |
3801 BLUE PKWY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64130-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116058 | Otis S Latimer Sr. | Internal Medicine | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2005-07-05 |
| 1730786682 | Donnica Miller | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-05 |
| 1578170692 | Mindy Lynn Thomas | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-24 |
| 1699380147 | James Jamaal Mourning | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-11 |
| 1457960296 | Renee Loenen | Registered Nurse | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-07-28 |
| 1669016424 | Lindsey Ackerson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-11-04 |
| 1861044737 | Senait E Gebreab | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-07-11 |
| 1720640782 | Christopher S Jozwick | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-06-30 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| 1447717665 | Michael Ngetich | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979532 | Jaiesha Releford | Home Health | 2403 E 49th St, Kansas City, MO 64130 | 2019-08-29 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1477083129 | Laura Kay Hyland | Registered Nurse | 5931 Swope Parkway, Kansas City, MO 64130 | 2017-06-15 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1790079291 | Zaron F. Kanion/myers Dental Clinic Dds, PC | Dentist | 5240 Prospect, Kansas City, MO 64130 | 2011-06-02 |
| 1235436593 | Omonosa Transportation and Social Services LLC | Meals | 4311 Prospect Ave, Kansas City, MO 64130 | 2011-02-23 |
| 1871826461 | All Families Health Center, LLC | Family Medicine | 4301 Cleveland Ave, Kansas City, MO 64130 | 2009-09-14 |
| 1922210442 | Trena Mae Leiter | Dentist | 3801 Blue Parkway, Kansas City, MO 64130 | 2007-05-04 |
| Find all providers in zip 64130 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1548899701 | Christine Elizabeth Diehl | Social Worker | 13400 Donahoo Rd, Kansas City, KS 66109-8400 | 2020-04-08 |
| 1245863125 | Haylie S. Colby | Social Worker | 6300 N Revere Dr Ste 270, Kansas City, MO 64151-3919 | 2020-02-19 |
| 1609409804 | Anastasia Viveros-schmidt | Social Worker | 4031 Central St, Kansas City, MO 64111-2207 | 2020-02-16 |
| 1275177230 | Sarah Duzell | Social Worker | 1301 N 47th St Bldg A, Kansas City, KS 66102-1705 | 2019-11-03 |
| 1548804750 | Jarita L Lindsey-carter | Social Worker | 2505 Brooklyn Ave, Kansas City, MO 64127-3824 | 2019-10-30 |
| 1144862061 | Beth Ann Houghton | Social Worker | 2000 Ne Vivion Rd Ste 200, Kansas City, MO 64118-6127 | 2019-10-11 |
| 1811538267 | Travanna F Alexander-toney | Social Worker | 5301 Cleveland Ave, Kansas City, MO 64130-4009 | 2019-10-07 |
| 1902451156 | Sarah Mays | Social Worker | 4609 Ne 83rd Ter, Kansas City, MO 64119-7618 | 2019-08-05 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64130 |
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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.