Interface

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

INTERFACE

Practice address

235 E Broadway St
Excelsior Springs, MO 64024-2564

Phone

(816) 507-9943

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lisa G Adams, PHDNPI 1083191001

Title

Owner

Phone

(816) 507-9943

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa G Adams, PHD

  • Case Manager/Care Coordinator
  • Excelsior Springs, MO
  • NPI 1083191001
  NPD (past) Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1053898080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32302 W 231ST ST",
            "city": "LAWSON",
            "state": "MO",
            "postal_code": "640628159",
            "telephone_number": "816-507-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BROADWAY ST",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640242564",
            "telephone_number": "816-507-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-507-9943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Holles, APRN, NP-C
• Kendra Gail Hough-Floryancic, LMSW
• Nicholas Lloyd Houk, DDS
• Addison Hungate, CCC-SLP
• Ed E Hunter, D.D.S.
• Lisa Ann James, LCSW
• Stevi Nicole James, OD
• Amanda Johnson, PHARM D
• Dallin M Josephson, DDS
• Kansas City Vamc

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.