Kelsey Michelle Dean, M.S., R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1584 Issued in KS

Practice address

3901 Rainbow Blvd
Mail Stop 4004
Kansas City, KS 66103-2937

Phone

(913) 588-3775

NPI assigned

Nov 11, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelsey Michelle Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kansas University Physicians Inc

  • Pediatrics Physician
  • Kansas City, KS
  • NPI 1962548883
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1003117730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 185",
            "city": "AMSTERDAM",
            "state": "MO",
            "postal_code": "647238302",
            "telephone_number": "660-200-5184",
            "fax_number": "913-588-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MAIL STOP 4004",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032937",
            "telephone_number": "913-588-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KELSEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "LEWIS",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "M.S., R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Thomas De Ruyter, MD
• Michelle De Souza, MD
• Frank Anthony De Stefano, DO
• Deaf Hope Inc.
• Cassidy Lynn Dean, MD
• Tess Decater, MD, MPH, CPH
• Andrea L. Decino, MD
• Patrick Deegan, LPC
• Naga Harshita Degala, MD
• Austin Degn, PHARMD

• Registered Dietitian in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.