MRS. KELLY ELAINE BRYDEN (NPI# 1609400266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609400266 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ELAINE BRYDEN |
| Credential | APRN |
| Practice Address |
5117 Mccoy St Shawnee KS 66226-3807 |
| Mailing Address |
11201 Parallel Pkwy Kansas City KS 66109-4438 |
| Practice Telephone | 9133148518 |
| Mailing Telephone | 9137212760 |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020006450 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-79079-021 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5117 MCCOY ST |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| Find all providers in zip 66226 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167397 | Kari Dawn Campbell | Nurse Practitioner | 4306 N Pottenger Ave, Shawnee, OK 74804-1267 | 2020-02-27 |
| 1316578842 | Amanda M Rigney | Nurse Practitioner | 322 S Aydelotte Ave, Shawnee, OK 74801-7611 | 2020-02-03 |
| 1326686767 | Jessica J. Hinchcliff | Nurse Practitioner | 5615 Maurer Rd, Shawnee, KS 66217-9766 | 2019-12-17 |
| 1023652815 | Sabrina Macalister | Nurse Practitioner | 30 Redbud Ln, Shawnee, OK 74801-8732 | 2019-11-05 |
| 1093364622 | Christiana Archibong | Nurse Practitioner | 21508 W 51st Pl, Shawnee, KS 66226-9731 | 2019-09-06 |
| 1003379728 | Marta Beshe | Nurse Practitioner | 5818 Theden St, Shawnee, KS 66218-9232 | 2019-04-09 |
| 1902370802 | Kelli Le Cox | Nurse Practitioner | 624 W Independence St Ste 116, Shawnee, OK 74804-4329 | 2019-01-14 |
| 1497243851 | Kendra Kirkendall | Nurse Practitioner | 421 N Beard Ave, Shawnee, OK 74801-6715 | 2018-05-01 |
| 1972975092 | Kristina Feezor | Nurse Practitioner | 1904 Gordon Cooper Dr, Shawnee, OK 74801-8603 | 2015-10-28 |
| 1104205186 | Jodi Jenista | Nurse Practitioner | 130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 | 2015-05-24 |
| Find all providers in SHAWNEE | ||||
Please comment or provide details below to improve the information on MRS. KELLY ELAINE BRYDEN.
| 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.