Meredith Ashley Keller

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022019370 Issued in MO

Practice address

11100 Ash St
Leawood, KS 66211-1925

Phone

(913) 338-5476

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1205566940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 KNOX ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134247",
            "telephone_number": "913-748-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 ASH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111925",
            "telephone_number": "913-338-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MEREDITH",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "199060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022019370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KC Pain Care Group LLC
• KC Psychological Solutions, LLC
• Abigail Kear
• Ashley Kearney, DPT
• Amy Keller
• Michaela Marie Keller, DPT
• Alisha Kelly, APRN, FNP-C
• Colleen R Kelly, P.A.
• Shancy Kelly, LCP
• Tarrah Nicole Kelly, DPT

• Family Nurse Practitioner in Leawood, KS
• Providers in Leawood, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.