Individual provider Active NPI

Kendra Dawn Hayes, RD. LDN.

  • Registered Dietitian
  • Overland Park, KS
National Provider Identifier
1205182540
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
997303 Issued in KS
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kendra@kkustomnutrition.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
997303KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.