Kelsey Nicole Breedlove, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

4320 Wornall Rd Ste 420
Kansas City, MO 64111-3233

Phone

(816) 932-1660

NPI assigned

Jun 15, 2017

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Nicole McCoy Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
• Direct secure messaging: kbreedlove229417@direct.saint-lukes.org

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

• St Lukes Hospital of Kansas City

  dba Saint Luke's Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Medicare reassignment NPD
• St Lukes Hospital of Kansas City

  dba Sant Luke's Specialty Pharmacy

  • Specialty Pharmacy
  • Kansas City, MO
  • NPI 1588457923
  NPD
• St. Luke's Hospital of Kansas City

  • Hearing and Speech Clinic/Center
  • Kansas City, MO
  • NPI 1881108686
  NPD

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1295265973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 W 90TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 420",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113233",
            "telephone_number": "816-932-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MCCOY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly N Brazzle, NP
• Breathing Room Therapy and Wellness
• Ashley Breaux, FNP-BC
• Marci A Brecheisen, MD
• Jeffrey A Bredemann, MD
• Sophia Lynn Breedlove, PA-C
• Sue Ellen Breese, ANP-BC
• Abby Breithaupt
• Roxane S Bremen, D.O.
• Brooklyn Renee Brende, ACCNS-AG

• Audiologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.