Individual provider Active NPI

Brynn E Everist, MD

  • Allergy & Immunology Physician
  • Prairie Village, KS
National Provider Identifier
1093036832
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
FE2803333 Issued in KS
Practice address
8340 Mission Rd Ste 212
Prairie Village, KS 66206-1318
Phone
(913) 291-8854
Fax
(913) 361-5394
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 54099 MN
Student in an Organized Health Care Education/Training Program 390200000X
Allergy & Immunology Physician 207K00000X FE2803333 KS Primary

Addresses

Primary practice location

8340 Mission Rd Ste 212
Prairie Village, KS 66206-1318

Mailing address

8340 Mission Rd Ste 212
Prairie Village, KS 66206-1318
Phone (913) 291-8854

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20210927000710 KS Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 3072786557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Allergy & Asthma Associates P a Allergy & Immunology CurrentSince Sep 1, 2021 Accepting new patients

Locations

8675 College Blvd
Ste 200
Overland Park, KS 66210
Phone (913) 491-5501

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAJCA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1093036832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD STE 212",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061318",
            "telephone_number": "913-291-8854",
            "fax_number": "913-362-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD STE 212",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061318",
            "telephone_number": "913-291-8854",
            "fax_number": "913-361-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERIST",
        "first_name": "BRYNN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "54099",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KS",
            "license": "FE2803333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.