Individual provider Active NPI

Thelma Taylor Blew, M.S.,R.D.,L.D.

  • Registered Dietitian
  • Kansas City, MO
National Provider Identifier
1114231149
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2001025173 Issued in MO
Practice address
4321 Washington St
Medical Plaza 3, Suite 6100
Kansas City, MO 64111-5961
Phone
(816) 932-2707
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2001025173 MO Primary

Addresses

Primary practice location

4321 Washington St
Medical Plaza 3, Suite 6100
Kansas City, MO 64111-5961

Mailing address

4321 Washington St
Medical Plaza 3, Suite 6100
Kansas City, MO 64111-5961
Phone (816) 932-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101011000816 MO Practitioner - Registered Dietitian Or Nutrition Professional 9830381730 Reassigns benefits to 1 organization
I20231115003376 KS Practitioner - Registered Dietitian Or Nutrition Professional 9830381730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

12541 Foster St
Suite 240
Overland Park, KS 66213-2301
Phone (913) 317-3170

4321 Washington
Kansas City, MO 64111-5928

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1676KSMDClinical Child & Adolescent Psychologist
2001025173MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Mar 1, 2017 Accepting new patients

Locations

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12541 Foster St
Ste 240
Overland Park, KS 66213
Phone (913) 317-3170

4321 Washington St
Ste 6100
Kansas City, MO 64111
Phone (816) 932-2707

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

6185 NW Jefferson St
Parkville, MO 64152
Phone (816) 569-1506

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1114231149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST",
            "address_2": "MEDICAL PLAZA 3, SUITE 6100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115961",
            "telephone_number": "816-932-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST",
            "address_2": "MEDICAL PLAZA 3, SUITE 6100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115961",
            "telephone_number": "816-932-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEW",
        "first_name": "THELMA",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "credential": "M.S.,R.D.,L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2001025173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.