Yesenia Blanca Olmedo, NP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-78407-032 Issued in KS

Practice address

6730 W 153Rd St
Overland Park, KS 66223-3158

Phone

(913) 344-4003

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Yesenia Blanca Olmedo Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Careconnext LLC

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1881285740
  Medicare reassignment NPD
• Buena Vida Integrative Health

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1841046034

  Family

  NPD Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1437624327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 W 153RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233158",
            "telephone_number": "913-344-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 W 153RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233158",
            "telephone_number": "913-344-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 W 110th St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102468",
            "country_code": "US",
            "telephone_number": "913-346-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMEDO",
        "first_name": "YESENIA",
        "middle_name": "BLANCA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5378407032",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-78407-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESENIA",
            "last_name": "OLMEDO",
            "middle_name": "BLANCA",
            "prefix": "MRS.",
            "credential": "FLORES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Shane Louis Oliverius, D.C.
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• Oliver Saimon Olotu
• Lindsey Jo Olson-Halsa, COTA
• Hayden M Olson, PT, DPT
• Jennifer Olson, RN
• Jeremiah Albert Olson, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.