NPIMap

Organization Active NPI

Wellkc, LLC

  • Primary Care Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1558077503
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
WELLKC, LLC
Practice address
6022 Marion St
Shawnee, KS 66218-9254
Phone
(913) 513-2166
Fax
(913) 218-3321
NPI assigned
Jan 24, 2023
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Jaclyn Brooke Whitlock, APRNNPI 1699252015
Title
Aprn/Owner
Phone
(913) 513-2166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

6022 Marion St
Shawnee, KS 66218-9254

Mailing address

6022 Marion St
Shawnee, KS 66218-9254
Phone (913) 513-2166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WELLKC@WELLKCKS.ORG Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1558077503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 MARION ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189254",
            "telephone_number": "913-513-2166",
            "fax_number": "913-218-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 MARION ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189254",
            "telephone_number": "913-513-2166",
            "fax_number": "913-218-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLKC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "913-513-2166",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WELLKC@WELLKCKS.ORG",
            "affiliation": "N",
            "endpointDescription": "PRACTICE EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6022 Marion St",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662189254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.