Individual provider Active NPI

Antonio Alibrando

  • Technician
  • Kansas City, MO
National Provider Identifier
1063188456
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
9237 Ward Pkwy Ste 240
Kansas City, MO 64114-3365
Phone
(816) 321-1414
Fax
(855) 461-3252
NPI assigned
Aug 17, 2021
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Technician 374700000X NU Primary

Addresses

Primary practice location

9237 Ward Pkwy Ste 240
Kansas City, MO 64114-3365

Mailing address

9237 Ward Pkwy Ste 240
Kansas City, MO 64114-3365
Phone (816) 321-1414

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renu Brain Treatment Center, LLC CurrentSince Aug 28, 2021 Accepting new patients

Locations

9237 Ward Pkwy
Ste 240
Kansas City, MO 64114
Phone (816) 321-1414

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1063188456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-321-1414",
            "fax_number": "855-461-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-321-1414",
            "fax_number": "855-461-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIBRANDO",
        "first_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.