Individual provider Active NPI

Courtney Danielle Kerr, RD, LD

  • Registered Dietitian
  • Leawood, KS
National Provider Identifier
1942848577
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2017032750 Issued in MO
Practice address
9811 Lee Cir
Leawood, KS 66206-2345
Phone
(888) 913-1428
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2017032750 MO Primary

Addresses

Primary practice location

9811 Lee Cir
Leawood, KS 66206-2345

Mailing address

5717 N Overland Dr
Kansas City, MO 64151
Phone (217) 622-4063

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.theranest.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
2464KSMDCounselor
2017032750MOMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1942848577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 N OVERLAND DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64151",
            "telephone_number": "217-622-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 LEE CIR",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062345",
            "telephone_number": "888-913-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "COURTNEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2017032750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theranest.com",
            "affiliation": "N",
            "endpointDescription": "online charting system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9811 Lee Cir",
            "city": "Leawood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662062345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

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

Verify at the official NPI Registry.