KIM CUSTER (NPI# 1518410596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518410596 |
| Entity Type | Individual |
| Full Name | KIM CUSTER |
| Practice Address |
4801 E Linwood Blvd Kansas City MO 64128-2226 |
| Mailing Address |
3162 Sw Gardenia St Lees Summit MO 64081-3874 |
| Practice Telephone | 8168614700 |
| Mailing Telephone | 9134491299 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
2012038032 | MO | Nursing Service Providers |
| Street Address |
4801 E LINWOOD BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64128-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104163 | Michael B Parsa | Radiology | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2005-06-15 |
| 1811598501 | Meaghan Tufts | Technician, Pathology | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-11-08 |
| 1023626652 | Abesyde Buena Cairns | Registered Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-20 |
| 1467079699 | Jordan Thoman | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-03 |
| 1528685351 | Kennedy Lynn Moore | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-27 |
| 1740807684 | Christopher Alexander | Counselor | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-26 |
| 1861018962 | Baig Medical LLC | Family Medicine | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-24 |
| 1770109712 | Patricia Lynne Callahan | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-24 |
| 1770109936 | Lauren Ellsbeth Sudhoff | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-23 |
| 1477174423 | Jamie Chavez | Social Worker | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| 1457732521 | Edward Stewart | Contractor | 2816 Bales Ave, Kansas City, MO 64128 | 2015-06-15 |
| 1144618869 | Kimberly Bergman | Social Worker | 4801 E Linwood Blvd., Kansas City, MO 64128 | 2015-01-05 |
| 1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
| 1487890778 | School District of Kansas City, Mo | Clinic/Center | 3221 Indiana Ave., Kansas City, MO 64128 | 2008-12-17 |
| 1912177635 | Dr. Valentenia Daugherty and Dr. Alvin R. Smith, PC | Podiatrist | 2713 East 31st Street, Kansas City, MO 64128 | 2008-03-10 |
| 1649454844 | Allison Kay Ambrose | Pharmacist | 4801 East Linewood Boulevard, Kansas City, MO 64128 | 2007-12-24 |
| 1073720058 | Ram N Kamath | Internal Medicine | Kc-vamc, 4801 Linwood Blvd, Kansas City, MO 64128 | 2007-05-17 |
| 1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
| Find all providers in zip 64128 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215126826 | Cherian George Malipurathu | Registered Nurse | 1707 E 59th Ter, Kansas City, MO 64110-3549 | 2007-10-19 |
| 1730715178 | Anna Alexandra Titus | Registered Nurse | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2020-03-17 |
| 1740749084 | Florence Yemei Angu | Registered Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2019-03-17 |
| 1649735069 | Laura Selanders | Registered Nurse | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2019-02-11 |
| 1558837278 | Cody Brynn Daniel | Registered Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2018-10-20 |
| 1003335803 | Ajanta Jinhee Raman | Registered Nurse | 2301 Holmes St, Kansas City, MO 64108 | 2017-09-12 |
| 1831611151 | Virginia Ashley Houx | Registered Nurse | 1300 E 104th St, Kansas City, MO 64131-4510 | 2017-07-07 |
| 1588197446 | Victoria Anne Falls | Registered Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2017-04-07 |
| 1407140791 | Jessica Louise Nivens | Registered Nurse | 4321 Washington St, Suite 5000, Kansas City, MO 64111-5961 | 2011-06-03 |
| 1689803561 | Christina Marie Maenle | Registered Nurse | 3901 Rainbow, Suite G600, Kansas City, KS 64106 | 2009-07-13 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64128 |
Please comment or provide details below to improve the information on KIM CUSTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.