Individual provider Active NPI

Kelsey Woodson, RDN

  • Registered Dietitian
  • Overland Park, KS
National Provider Identifier
1235911124
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
6801 W 121St St Ste 121
Overland Park, KS 66209-2005
Phone
(816) 695-8245
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 Primary

Addresses

Primary practice location

6801 W 121St St Ste 121
Overland Park, KS 66209-2005

Mailing address

3321 SW Kessler Dr Unit 7008
Lees Summit, MO 64081-2277
Phone (913) 620-2052

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Dietitian LLC Dietitian, Registered CurrentSince Oct 22, 2023 Accepting new patients

Locations

6801 W 121st St
Ste 121
Overland Park, KS 66209
Phone (816) 520-2259

15445 Metcalf Ave
Overland Park, KS 66223
Phone (913) 232-8955

4444 N Belleview Ave
Ste 204
North Kansas City, MO 64116
Phone (816) 452-8080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1235911124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 SW KESSLER DR UNIT 7008",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812277",
            "telephone_number": "913-620-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 121ST ST STE 121",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092005",
            "telephone_number": "816-695-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "KELSEY",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 16, 2023; 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.