Nicholas Daniel Gresham

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5350 College Blvd
Leawood, KS 66211-1936

Phone

(816) 994-2583

Fax

(816) 777-0626

NPI assigned

Nov 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1932703550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 HICKMAN MILLS DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641371618",
            "telephone_number": "816-501-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111936",
            "telephone_number": "816-994-2583",
            "fax_number": "816-777-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10330 Hickman Mills Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641371618",
            "country_code": "US",
            "telephone_number": "816-501-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "NICHOLAS",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Matthew Gratton, MD
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• Laura B Graves I, M.S CCC/SLP
• Jordan Green
• Mark Alan Greenfield, M.D.
• Shavinder Grewal
• James Griffith, M.D.
• Julia Grimm, T-LMLP
• Trudi R Grin, M.D.
• Haley Grissen, RBT

• Behavior Analyst in Leawood, KS
• Providers in Leawood, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.