Active NPI
Kendra Dawn Hayes, RD. LDN.
- Registered Dietitian
- Overland Park, KS
National Provider Identifier
1205182540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 997303
- Practice address
- 15445 Metcalf Ave
Overland Park, KS 66223-2801 - Phone
- (816) 408-9225
- Fax
- (913) 273-1715
- NPI assigned
- Jul 24, 2012
- Last updated
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 997303 | KS | Primary |
Addresses
Primary practice location
15445 Metcalf Ave
Overland Park, KS 66223-2801
Mailing address
15445 Metcalf Ave
Overland Park, KS 66223-2801
Phone (816) 408-9225
Other names 1
- Mrs. Kendra Dawn Friesz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kendra@kkustomnutrition.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260217004266 | KS | Practitioner - Registered Dietitian Or Nutrition Professional | 1153617253 | Practice locations: Overland Park, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15445 Metcalf Ave
Overland Park, KS 66223-2801
Phone (913) 513-3640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 997303 | KS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendras Kustom Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
15445 Metcalf Ave
Overland Park, KS 66223
Phone (913) 232-8955
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Overland Park, KS
- NPI 1063297711
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1205182540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15445 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232801",
"telephone_number": "816-408-9225",
"fax_number": "913-273-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15445 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232801",
"telephone_number": "816-408-9225",
"fax_number": "913-273-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KENDRA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "RD. LDN.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "997303",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kendra@kkustomnutrition.com",
"affiliation": "N",
"endpointDescription": "HIPPA secure email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "15445 Metcalf Ave",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662232801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "FRIESZ",
"middle_name": "DAWN",
"prefix": "MRS.",
"credential": "RD. LDN.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.