Active NPI
Blue Hair Health Care
- Family Medicine Physician
- Clayton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BLUE HAIR HEALTH CARE
- Practice address
- 120 S Central Ave
Clayton, MO 63105-1705 - Phone
- (913) 579-5695
- NPI assigned
- Jun 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Franklin Avery, DO
- Title
- Owner
- Phone
- (913) 579-5695
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
120 S Central Ave
Clayton, MO 63105-1705
Mailing address
20006 W 89TH St
Lenexa, KS 66220-8240
Phone (913) 579-5695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211011000262 | MO | Part B Supplier - Clinic/Group Practice | 9032517784 |
Receives reassigned benefits from 5 practitioners Practice locations: Clayton, MO |
| O20230622002495 | KS | Part B Supplier - Clinic/Group Practice | 9032517784 |
Receives reassigned benefits from 3 practitioners Practice locations: Leavenworth, KS; Lenexa, KS |
National Provider Directory
National Provider DirectoryOwnership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Cascade Health Services | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 29, 2025 Dec 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Leavenworth, KS
- NPI 1942300215
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Junction City, KS
- NPI 1427230069
Family Medicine, KS, MO
-
- Family Nurse Practitioner
- Blue Springs, MO
- NPI 1912608118
KS, MO, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1235709015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20006 W 89TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662208240",
"telephone_number": "913-579-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S CENTRAL AVE",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631051705",
"telephone_number": "913-579-5695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE HAIR HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-25",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "AVERY",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-579-5695",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.