Basic Information
Provider Information
NPI: 1497814545
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELLINGS
FirstName: JESSICA
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2310 HOLMES ST STE 800
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641082602
CountryCode: US
TelephoneNumber: 8164045709
FaxNumber:  
Practice Location
Address1: 300 W 19TH TER
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 64108
CountryCode: US
TelephoneNumber: 8164045709
FaxNumber: 8164046024
Other Information
ProviderEnumerationDate: 12/06/2006
LastUpdateDate: 07/02/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X2084P0800XKSN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804X35.099250OHN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
2084P0804X2016008780MOY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

ID Information
IDTypeStateIssuerDescription
26002786801 RAILROAD MEDICAREOTHER
006685705OH MEDICAID


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