Active NPI
Kristin Lea Gernon, L.M.S.W.
- Social Worker
- Kansas City, KS
National Provider Identifier
1225162076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6220
- Practice address
- 1223 Meadowlark LN
Kansas City, KS 66102-1258 - Phone
- (913) 890-7567
- NPI assigned
- Mar 15, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6220 | KS | Primary |
Addresses
Primary practice location
1223 Meadowlark LN
Kansas City, KS 66102-1258
Mailing address
4130 Oak St
Kansas City, MO 64111-1615
Phone (646) 752-4054
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098080A | Medicaid | KS | |
| 100098080C | Other | KS | SED WAIVER |
Other names 1
- Kristin Lea Gernon Olson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6220 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1225162076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 OAK ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641111615",
"telephone_number": "646-752-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 MEADOWLARK LN",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661021258",
"telephone_number": "913-890-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNON",
"first_name": "KRISTIN",
"middle_name": "LEA",
"credential": "L.M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "6220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098080A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SED WAIVER",
"identifier": "100098080C",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "OLSON",
"middle_name": "LEA GERNON",
"credential": "L.M.S.W.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.