NPIMap

Organization Active NPI

Kisx Card LLC

  • Case Management Agency
  • Mechanicsburg, PA
National Provider Identifier
1033735360
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KISX CARD LLC
Practice address
1 Kacey CT Ste 100
Mechanicsburg, PA 17055-9223
Phone
(717) 790-1605
NPI assigned
Jun 23, 2020
Organization subpart
Yes
Parent organization
KISX CARD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Nicole Brantner
Title
Director of Operations
Phone
(717) 574-1798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1 Kacey CT Ste 100
Mechanicsburg, PA 17055-9223

Mailing address

1 Kacey CT Ste 100
Mechanicsburg, PA 17055-9223

Other names 1

  • KIS Imaging Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mechanicsburg Other KISx Card LLC

National Provider Directory

National Provider Directory
Tax ID family
Kisx Card LLC2 organizations share this tax ID, including this one
Part of
Kisx Card LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Kacey Ct
Ste 100
Mechanicsburg, PA 17055
Phone (717) 790-1605

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1033735360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KACEY CT STE 100",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KACEY CT STE 100",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559223",
            "telephone_number": "717-790-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISX CARD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KISX CARD LLC",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "BRANTNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "717-574-1798"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mechanicsburg",
            "affiliation": "Y",
            "endpointDescription": "Location",
            "affiliationName": "KISx Card LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Mechanicsburg",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mechanicsburg",
            "address_1": "1 Kacey Ct Ste 100",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170559223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KIS Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.