Active NPI
Kandiss Kamille James, R.N.
- Long Term Care Hospital
- Florissant, MO
National Provider Identifier
1043686249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 2013016439
- Practice address
- 3540 Cypress Creek Dr
Florissant, MO 63031-1340 - Phone
- (618) 530-5238
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 2013016439 | MO | Primary |
Addresses
Primary practice location
3540 Cypress Creek Dr
Florissant, MO 63031-1340
Mailing address
3540 Cypress Creek Dr
Florissant, MO 63031-1340
Phone (618) 530-5238
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013016439 | MO | MD | Long Term Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1043686249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 CYPRESS CREEK DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311340",
"telephone_number": "618-530-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 CYPRESS CREEK DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311340",
"telephone_number": "618-530-5238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "KANDISS",
"middle_name": "KAMILLE",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "MO",
"license": "2013016439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.