Organization Active NPI

Elysian Luxury Medspa & Wellness LLP

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1255131488
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.