Active NPI
Pamela S Brill, RD
- Registered Dietitian
- Overland Park, KS
National Provider Identifier
1699249607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1741
- Practice address
- 5701 W 119TH St Ste 350
Overland Park, KS 66209-3721 - Phone
- (913) 345-6960
- Fax
- (913) 345-6966
- NPI assigned
- Jan 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1741 | KS | Primary |
Addresses
Primary practice location
5701 W 119TH St Ste 350
Overland Park, KS 66209-3721
Mailing address
9305 Falcon Ridge Dr
Lenexa, KS 66220-3650
Phone (913) 481-7639
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1741 | KS | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- pamela.brill@hca2.eclinicaldirectplus.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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1699249607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 FALCON RIDGE DR",
"city": "LENEXA",
"state": "KS",
"postal_code": "662203650",
"telephone_number": "913-481-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W 119TH ST STE 350",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093721",
"telephone_number": "913-345-6960",
"fax_number": "913-345-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "PAMELA",
"middle_name": "S",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.