Kelly Neland, DNP, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022029286 Issued in MO

Practice address

10301 E 350 Hwy
Raytown, MO 64138-1808

Phone

(816) 268-3001

Fax

(816) 268-3002

NPI assigned

Mar 13, 2014

Last updated

Jul 28, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Premise Health of Missouri Medical PC

  dba Raytown Schools

  • Multi-Specialty Clinic/Center
  • Raytown, MO
  • NPI 1588337430
  NPD
• University of Central Missouri Student Health Center

  • Family Medicine Physician
  • Warrensburg, MO
  • NPI 1770599581
  NPD (past)

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1629494711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 E 350 HWY",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641381808",
            "telephone_number": "816-268-3001",
            "fax_number": "816-268-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 E 350 HWY",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641381808",
            "telephone_number": "816-268-3001",
            "fax_number": "816-268-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "MO",
            "postal_code": "640932621",
            "country_code": "US",
            "telephone_number": "660-543-4770",
            "fax_number": "660-543-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELAND",
        "first_name": "KELLY",
        "credential": "DNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014003277",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022029286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Elizabeth Naumann, PT, BSPT
• NDH Medicare Risk Assessment LLC (Eastside Health & Wellness)
• Amber Dawn Neal, DPT
• Lee Neenan
• Taylor Neil
• Sharhonda Lashaun Nelson
• Mary Nevels, LCSW
• Ashley Newson
• Damon Lamont Newton
• Immaculate Kume Ngum, FNP

• Psychiatric/Mental Health Nurse Practitioner in Raytown, MO
• Providers in Raytown, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.