Active NPI
Elysian Luxury Medspa & Wellness LLP
- Internal Medicine Physician
- Kansas City, MO
National Provider Identifier
1255131488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ELYSIAN LUXURY MEDSPA & WELLNESS LLP
- Practice address
- 2462 Brooklyn Ave FL 2
Kansas City, MO 64127-3819 - Phone
- (816) 300-3386
- NPI assigned
- Mar 17, 2025
- Last updated
- Mar 17, 2025
- 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
- Karamel McCoy
- Title
- Owner
- Phone
- (951) 434-3259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2462 Brooklyn Ave FL 2
Kansas City, MO 64127-3819
Mailing address
2462 Brooklyn Ave FL 2
Kansas City, MO 64127-3819
Phone (816) 300-3386
National Provider Directory
National Provider DirectoryLocations
2462 Brooklyn Ave
Fl 2
Kansas City, MO 64127
Phone (816) 300-3386
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1457703530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1255131488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2462 BROOKLYN AVE FL 2",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641273819",
"telephone_number": "816-300-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2462 BROOKLYN AVE FL 2",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641273819",
"telephone_number": "816-300-3386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELYSIAN LUXURY MEDSPA & WELLNESS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "KARAMEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-434-3259"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.