Lakeisha Kelly

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2021016504 Issued in MO

Practice address

6119 N Evans Ave
Kansas City, MO 64151-2162

Phone

(816) 868-0788

NPI assigned

Sep 27, 2021

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 KS, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eon Care Services LLCGroup PAC ID 8820529704, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eon Care Services, LLC

  • Nurse Practitioner
  • Germantown, MD
  • NPI 1508613886

  MO

  Medicare reassignment Care Compare group NPD
• Metro Infectious Disease Consultants, LLC

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1235125717

  KS, MO, Nurse Practitioner

  Medicare reassignment NPD
• Nurse Practitioner Group LLC

  • Contractor
  • Plantation, FL
  • NPI 1780121277

  KS, MO

  Medicare reassignment NPD
• Metro Infectious Disease Consultants LLC

  • Infectious Disease Physician
  • Jonesboro, GA
  • NPI 1770307191
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1194496307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 N EVANS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512162",
            "telephone_number": "816-868-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 N EVANS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512162",
            "telephone_number": "816-868-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAKEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021016504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kelly
• Karla Jean Kelly, CRNA
• Katherine Kelly
• Katherine Patterson Kelly, RN, MCCNS
• Kelly D Kelly, PLCSW
• Neil Kelly, D.D. S.
• Shannon Lorraine Kelly, APRN, WHNP-BC
• Sherilyn Kelly, APRN
• Theresa Ann Kelly, RPH
• Kels in-Home Services, LLC

• Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
• 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.