Individual provider Active NPI

Kathy Marie Persell, RN

  • Case Management Registered Nurse
  • Lees Summit, MO
National Provider Identifier
1033379771
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
1482353011 Issued in KS
Practice address
2027 NE Cookson St
Lees Summit, MO 64086-6307
Phone
(816) 525-0386
Fax
(816) 246-1664
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 1482353011 KS Primary

Addresses

Primary practice location

2027 NE Cookson St
Lees Summit, MO 64086-6307

Mailing address

2027 NE Cookson St
Lees Summit, MO 64086-6307
Phone (816) 525-0386

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1482353011KSMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1033379771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 NE COOKSON ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866307",
            "telephone_number": "816-525-0386",
            "fax_number": "816-246-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 NE COOKSON ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866307",
            "telephone_number": "816-525-0386",
            "fax_number": "816-246-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSELL",
        "first_name": "KATHY",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KS",
            "license": "1482353011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.