Kelly R Fritz, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

089300 Issued in MO

Practice address

1600 NW South Outer Rd
Blue Springs, MO 64015-2963

Phone

(816) 524-3223

Fax

(816) 525-2697

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelly.fritz.1@25804.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25804/brand/1/csg/1/fhir/r4

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.

• Children'S Mercy-Community Choice Pediatrics

  • Pediatrics Physician
  • Lees Summit, MO
  • NPI 1114540085
  NPD (past)
• Lee'S Summit Physicians Group

  • Pediatric Adolescent Medicine Physician
  • Blue Springs, MO
  • NPI 1225335250
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1679566913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865705",
            "telephone_number": "816-524-3223",
            "fax_number": "816-525-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152963",
            "telephone_number": "816-524-3223",
            "fax_number": "816-525-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "089300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabila Formusoh
• Ronald J Fornelli, OD
• Christopher Fox, MD
• Sarah Elizabeth Frank, MSPT
• Thomas Edward Frevert, DPT
• Lindsey M. Fuentes, OTR/L
• Timothy D Fundenberger, CRNA
• Speros Gabriel, DO
• Keith Andrew Gaetano, PHARM.D.
• Stephanie Gallaher

• Pediatric Nurse Practitioner in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.