Active NPI
Brain First Family Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lenexa, KS
National Provider Identifier
1255112645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BRAIN FIRST FAMILY CENTER LLC
- Practice address
- 8700 Monrovia St Ste 310
Lenexa, KS 66215-3500 - Phone
- (913) 399-1924
- Fax
- (913) 940-1045
- NPI assigned
- Oct 11, 2023
- 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
- Ryan K Jolly, PMHNP-BVC
- Title
- Owner
- Phone
- (913) 399-1924
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
8700 Monrovia St Ste 310
Lenexa, KS 66215-3500
Mailing address
15621 W 87TH St # 264
Lenexa, KS 66219-1435
Phone (913) 399-1924
National Provider Directory
National Provider DirectoryLocations
15621 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 438-9600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lenexa, KS
- NPI 1386325215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1255112645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15621 W 87TH ST # 264",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191435",
"telephone_number": "913-399-1924",
"fax_number": "913-940-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 MONROVIA ST STE 310",
"city": "LENEXA",
"state": "KS",
"postal_code": "662153500",
"telephone_number": "913-399-1924",
"fax_number": "913-940-1045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAIN FIRST FAMILY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A",
"authorized_official_last_name": "JOLLY",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-399-1924",
"authorized_official_credential": "PMHNP-BVC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.