Individual provider Active NPI

Kelsey Taylor Freshour, RN, BSN, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1952022030
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2022030125 Issued in MO
Practice address
9051 NE 81St Ter Ste 100
Kansas City, MO 64158-1168
Phone
(816) 792-1170
NPI assigned
Sep 7, 2022
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2022030125 MO Primary
Pediatric Nurse Practitioner 363LP0200X 53-80887-041 KS

Addresses

Primary practice location

9051 NE 81St Ter Ste 100
Kansas City, MO 64158-1168

Mailing address

9051 NE 81St Ter Ste 100
Kansas City, MO 64158-1168
Phone (816) 792-1170

Other practice location 1

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 701-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Computer Health Information Exchange (HIE) The Children's Mercy Hospital

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
53-80887-041KSMDPediatric Nurse Practitioner
2022030125MOMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1952022030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 NE 81ST TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581168",
            "telephone_number": "816-792-1170",
            "fax_number": "816-792-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 NE 81ST TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581168",
            "telephone_number": "816-792-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-701-5200",
            "fax_number": "816-302-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRESHOUR",
        "first_name": "KELSEY",
        "middle_name": "TAYLOR",
        "credential": "RN, BSN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2022030125",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "53-80887-041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Computer",
            "affiliation": "Y",
            "affiliationName": "The Children's Mercy Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9051 NE 81st Ter Ste 100",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641581168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.