Active NPI
Kayla Beashore, DO
- Family Medicine Physician
- Merriam, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-49793
- Practice address
- 7450 Kessler St Ste 300
Merriam, KS 66204-2550 - Phone
- (913) 632-2900
- Fax
- (913) 831-6883
- NPI assigned
- Apr 9, 2021
- Last updated
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-49793 | KS | Primary |
Addresses
Primary practice location
7450 Kessler St Ste 300
Merriam, KS 66204-2550
Mailing address
7450 Kessler St Ste 300
Merriam, KS 66204-2550
Phone (913) 632-2900
Other names 1
- Kayla Zimmerly
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-49793 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center Inc | Family Medicine | Current | Accepting new patients |
Locations
7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
7450 Kessler St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-2900
Interoperability endpoints
- kbeashore3760098@adventhealth.direct-ci.com
Organizations & group practices 1
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Home Health
- Home Health Agency
- Merriam, KS
- NPI 1750323937
-
dba AdventHealth South Overland Park
- General Acute Care Hospital
- Overland Park, KS
- NPI 1316536253
-
dba AdventHealth Shawnee Mission
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1649850116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 KESSLER ST STE 300",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042550",
"telephone_number": "913-632-2900",
"fax_number": "913-831-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 KESSLER ST STE 300",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042550",
"telephone_number": "913-632-2900",
"fax_number": "913-831-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASHORE",
"first_name": "KAYLA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-49793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "ZIMMERLY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
- 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.