Kris M Vacek, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004094 Issued in MO

Practice address

8900 State Line Rd
Ste. 333
Leawood, KS 66206-1960

Phone

(913) 491-9404

Fax

(913) 754-0365

NPI assigned

Apr 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Cancer Rehabilitation Specialists Lymphatic and Venous Disorders Inc

  • Occupational Therapist
  • Leawood, KS
  • NPI 1700887056
  NPD

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1154688398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 61ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131455",
            "telephone_number": "816-405-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 STATE LINE RD",
            "address_2": "STE. 333",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061960",
            "telephone_number": "913-491-9404",
            "fax_number": "913-754-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACEK",
        "first_name": "KRIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Umstattd, MD
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• John A Vadaparampil, MD
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• Diana Jean Van Stone, LMSW

• Occupational Therapist in Leawood, KS
• Providers in Leawood, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.