Individual provider Active NPI

Julie McLean, R.D.

  • Registered Dietitian
  • Olathe, KS
National Provider Identifier
1649510835
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1815 Issued in KS
Practice address
11695 S Blackbob Rd
Olathe, KS 66062-1058
Phone
(913) 768-6606
Fax
(913) 768-6609
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1815 KS Primary

Addresses

Primary practice location

11695 S Blackbob Rd
Olathe, KS 66062-1058

Mailing address

11695 S Blackbob Rd
Olathe, KS 66062-1058
Phone (913) 768-6606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220002575 KS Practitioner - Registered Dietitian Or Nutrition Professional 4486912466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

15101 Glenwood Ave
Stanley, KS 66223-3154
Phone (913) 681-8866

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
78.92
Promoting interoperability
99
Improvement activities
40
Cost
71.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1815KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC CurrentSince Nov 15, 2017 Accepting new patients
College Park Family Care Center PA Past Accepting new patients

Locations

17050 W 96th St
Lenexa, KS 66219
Phone (913) 359-1771

11164 S Noble Dr
Olathe, KS 66061
Phone (913) 469-6447

801 N Mur Len Rd
Ste 211
Olathe, KS 66062
Phone (913) 451-2253

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

15101 Glenwood Ave
Stanley, KS 66223
Phone (913) 681-4934

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1649510835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11695 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621058",
            "telephone_number": "913-768-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11695 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621058",
            "telephone_number": "913-768-6606",
            "fax_number": "913-768-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "JULIE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.