Individual provider Active NPI

Risha Lashelle Roark Shelton, RN

  • Registered Nurse
  • Kansas City, MO
National Provider Identifier
1639069347
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2022004583 Issued in MO
Practice address
2301 Holmes St
Kansas City, MO 64108-2640
Phone
(816) 404-1000
NPI assigned
Jul 4, 2025
Last updated
Jul 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2022004583 MO Primary

Addresses

Primary practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

1100 NW 66TH Ter
Kansas City, MO 64118-8100

Other practice location 1

2330 Shawnee Mission Pkwy
Westwood, KS 66205-2005
Phone (832) 693-4066

Other practice location 2

1100 NW 66th Ter
Kansas City, MO 64118-8100
Phone (832) 693-4066

Other names 1

  • Risha Lashelle Roark Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2022004583MOMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1639069347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW 66TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641188100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Shawnee Mission Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "KS",
            "postal_code": "662052005",
            "country_code": "US",
            "telephone_number": "832-693-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 NW 66th Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641188100",
            "country_code": "US",
            "telephone_number": "832-693-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "RISHA",
        "middle_name": "LASHELLE ROARK",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2022004583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISHA",
            "last_name": "ROARK",
            "middle_name": "LASHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.