Bristol W Seymour, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024031044 Issued in MO

Practice address

400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030

Phone

(913) 681-2398

Fax

(913) 681-2416

NPI assigned

Jul 23, 2024

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

Other names 1

• Bristol Wynne Clark Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Dimitri Golfinopoulos, DO, PA

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1740320829
  Medicare reassignment NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1679301402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "913-681-2398",
            "fax_number": "913-681-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "913-681-2398",
            "fax_number": "913-681-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "BRISTOL",
        "middle_name": "W",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83405-092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024031044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRISTOL",
            "last_name": "CLARK",
            "middle_name": "WYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karla Daniela Sevilla
• Brianna Sexton
• Troy Samuel Sexton, LMSW
• Melissa M Seybert, N.P.
• Amanda Seymour
• Elliott Ashton Seymour III, PLPC
• Erin B Seymour, LMSW
• Michelle Seymour, MS, LAT, ATC
• SFM, Inc (Said F. Mahmoud, MD)
• SG Chiro Solutions LLC (Wave Integrative Wellness)

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.