Individual provider Active NPI

Ryan Katelyn Jolly, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1386325215
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
82211 Issued in KS
Practice address
8700 Monrovia St Ste 310
Lenexa, KS 66215-3500
Phone
(913) 399-1924
Fax
(913) 940-1045
NPI assigned
Jul 25, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 82211 KS Primary

Addresses

Primary practice location

8700 Monrovia St Ste 310
Lenexa, KS 66215-3500

Mailing address

15621 W 87TH Street Pkwy # 264
Lenexa, KS 66219-1435
Phone (913) 634-4325

Other practice location 1

14510 W 83rd Pl
Lenexa, KS 66215-4266
Phone (913) 634-4325

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

State licenses

LicenseStateTypeSpecialty
82211KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain First Family Center LLC Psychiatric/Mental Health Current Accepting new patients

Locations

15621 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 701-7336

8700 Monrovia St
Ste 310
Overland Park, KS 66215
Phone (866) 964-3286

Interoperability endpoints

  • Direct secure messaging: ryan.jolly.1@29967.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1386325215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 W 87TH STREET PKWY # 264",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191435",
            "telephone_number": "913-634-4325"
        },
        {
            "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": [
        {
            "address_1": "14510 W 83rd Pl",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662154266",
            "country_code": "US",
            "telephone_number": "913-634-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "RYAN",
        "middle_name": "KATELYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "82211",
            "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.

Verify at the official NPI Registry.