Kailey Wilson, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2014018817 Issued in MO

Practice address

3171 NE Carnegie Dr Ste a
Lees Summit, MO 64064-3226

Phone

(816) 525-2800

Fax

(816) 525-4077

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Children'S Mercy-Summit Pediatrics & Adolescent Medicine

  • Pediatrics Physician
  • Lees Summit, MO
  • NPI 1447751375
  NPD (past)
• Summit Pediatrics, LLC

  • Clinic/Center
  • Lees Summit, MO
  • NPI 1700151818
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1003222712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 NE CARNEGIE DR STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643226",
            "telephone_number": "816-525-2800",
            "fax_number": "816-525-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 NE CARNEGIE DR STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643226",
            "telephone_number": "816-525-2800",
            "fax_number": "816-525-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAILEY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2014018817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crosby Wilson
• David Wilson, RPH
• David Demetrius Wilson, DC, MS
• Haley Nicole Wilson, PT, DPT
• Jonathan Edward Wilson, D.O.
• Katherine Wilson, RBT
• Katherine Wilson
• Lisa Marie Winer, RN
• Jenna Allyce Winn, PT, DPT
• Bethany Dale Wirsig, DPT

• Pediatrics Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.