Active NPI
Ryan Katelyn Jolly, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Lenexa, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 82211
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 82211 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lenexa, KS
- NPI 1255112645
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.