MRS. KINSEY ANN MADDOX (NPI# 1700301264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700301264 |
Entity Type | Individual |
Full Name | MRS. KINSEY ANN MADDOX |
Credential | OT |
Practice Address |
204 Ne Chipman Rd Lees Summit MO 64063-2404 |
Mailing Address |
905 Easy St Lawrence KS 66049-4706 |
Practice Telephone | 8166825736 |
Mailing Telephone | 5806509197 |
Enumeration Date | 2017-08-06 |
Last Update Date | 2017-08-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
2015036501 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
204 NE CHIPMAN RD |
City | LEES SUMMIT |
State | MO |
Zip Code | 64063-2404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649548827 | Melisa Imelda Hendren | Occupational Therapy Assistant | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2011-12-02 |
1477160265 | Melissa Kehoe | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2020-09-25 |
1689210239 | Jessica R Ginther | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2019-11-19 |
1477195279 | Adam White | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2019-10-13 |
1760048128 | Cara Gruhala | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2019-05-11 |
1588130124 | Jessica Lynn Lahasky | Music Therapist | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2018-10-22 |
1538677240 | Emma Carr | Occupational Therapist | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2018-01-16 |
1386150381 | Allison Paige Lehnhoff | Occupational Therapy Assistant | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2017-12-28 |
1508304403 | Summit Pediatric Therapy Corp | Public Health or Welfare | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2017-02-10 |
1821536848 | Kaitlin Terrel | Speech-Language Pathologist | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2017-02-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
Find all providers in zip 64063 |
Taxonomy Code | 225XN1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Neurorehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205360187 | Carol Ponciroli | Occupational Therapist | 4637 Pershing Pl, Saint Louis, MO 63108-1907 | 2017-04-17 |
1275936999 | Joyful Strides LLC | Occupational Therapist | 2724 Highway B, Doe Run, MO 63637-3101 | 2014-10-08 |
1699973065 | Julie Louise Crane | Occupational Therapist | 951 Waterbury Falls Drive, O'fallon, MO 63368-2202 | 2007-07-06 |
1255487948 | Lynne Anne White | Occupational Therapist | 1125 Madison, Jefferson, MO 65102-1128 | 2007-01-26 |
1306475793 | Fernando Alada Bayanin | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-07 |
1013382886 | Katherine Rummel | Occupational Therapist | 12335 W Bend Dr, Saint Louis, MO 63128-2160 | 2015-12-04 |
1528291739 | Alexandra Roark | Occupational Therapist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2009-09-03 |
City | LEES SUMMIT |
Zip Code | 64063 |
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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.