Active NPI
Festus Mugo Kimari
- Driver
- Olathe, KS
National Provider Identifier
1003380726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- K02-55-3358
- Practice address
- 16504 W 141St St
Olathe, KS 66062-1940 - Phone
- (913) 742-3646
- Fax
- (913) 489-7116
- NPI assigned
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | K02-55-3358 | KS | Primary |
Addresses
Primary practice location
16504 W 141St St
Olathe, KS 66062-1940
Mailing address
16504 W 141St St
Olathe, KS 66062-1940
Phone (913) 742-3646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201194620A | Medicaid | KS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1003380726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16504 W 141ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621940",
"telephone_number": "913-742-3646",
"fax_number": "913-489-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16504 W 141ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621940",
"telephone_number": "913-742-3646",
"fax_number": "913-489-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMARI",
"first_name": "FESTUS",
"middle_name": "MUGO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "KS",
"license": "K02-55-3358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201194620A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.