Health Impact Partners

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

HEALTH IMPACT PARTNERS

Doing business as

Mid-America Mothers' Milk Bank

Practice address

201 N Forest Ave
Independence, MO 64050-2696

Phone

(816) 867-0867

NPI assigned

Sep 4, 2023

Last updated

Sep 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelvin Dam, RDNPI 1073182713

Title

Manager

Phone

(816) 867-0867

Specialties & licenses 4

Addresses

Other names 1

• Mid-America Mothers' Milk Bank Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelvin Dam, RD

  • Registered Dietitian
  • Lee's Summit, MO
  • NPI 1073182713
  NPD Authorized official

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1053197251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SW GREENWICH DR # 174",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824408",
            "telephone_number": "816-867-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FOREST AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502696",
            "telephone_number": "816-867-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IMPACT PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "DAM",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-867-0867",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-America Mothers' Milk Bank",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HCC Network (Live Well Community Health Center Independence)
• Healing Our Trauma, LLC
• Healing Well Chiropractic Lee's Summit LLC
• Healn Heart Home Healthcare Inc
• Healn Hearts Home Healthcare Inc
• Healthback Home Health of Missouri, Inc.
• Healthpro Heritage Rehab & Fitness, LLC
• Healthstat on-Site Clinic-City of Independence
• Healthstat- Independence School District
• Healthy Body Chiropractic, P.C.

• Medical Foods Supplier in Independence, MO
• Providers in Independence, MO by specialty
• Medical Foods Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.