Kelly Marie Selznick, M.S.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

11875 S Sunset Dr Ste 300
Olathe, KS 66061-2794

Phone

(913) 477-8119

NPI assigned

Feb 24, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Johnson County Dept of Health and Environment

  • Public Health or Welfare Agency
  • Olathe, KS
  • NPI 1639133085
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1184864589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 300",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 300",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17672 S Brockway St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660622730",
            "country_code": "US",
            "telephone_number": "913-592-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELZNICK",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Phillip Secor, MA LCMFT LPC
• Jocelyn Segura
• Daniel Nathan Seigrist, RN, PMHNP
• Selectrx KS, LLC
• Curtis Trigueiro Selser, M.D.
• Seniors on the Green Adult Care Center LLC
• Seoul Chiropractic LLC
• Serc of Johnson County LLC
• Serc of Johnson County, L.L.C.
• Serc Rehabilitation Partners LLC

• Community Health Worker in Olathe, KS
• Providers in Olathe, KS by specialty
• Community Health Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.