Kathryn Anne Ellerbeck, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

04-28439 Issued in KS

Practice address

3901 Rainbow Blvd.-Mailstop 4003
Center for Child Health and Development Center
Kansas City, KS 66160-0001

Phone

(913) 588-5781

Fax

(913) 588-5916

NPI assigned

Jun 22, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Child Health and Development

  • Developmental - Behavioral Pediatrics Physician
  • Kansas City, KS
  • NPI 1114099876
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1992731145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411851",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411851",
            "telephone_number": "913-384-3546",
            "fax_number": "913-588-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD.-MAILSTOP 4003",
            "address_2": "CENTER FOR CHILD HEALTH AND DEVELOPMENT CENTER",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-5781",
            "fax_number": "913-588-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBECK",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "KS",
            "license": "04-28439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Elkady
• Katie Lynn Elkins-Sinclair, NNP-BC
• Emily Elkins
• Annie Elizabeth Eller, RD
• Edward F Ellerbeck, M.D.
• Rebecca Renee Ellington, CRNA
• Emily Paige Elliott, MD
• Kellie Elliott, LSCSW
• Timothy H Elliott, MD
• Erica Ellis-Tibbetts, DPT

• Developmental - Behavioral Pediatrics Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Developmental - Behavioral Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.