Kristi K Mace

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2002029874 Issued in MO

Practice address

301 NE Tudor Rd
Lees Summit, MO 64086-5702

Phone

(816) 986-1000

NPI assigned

Sep 19, 2024

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)

Not enrolled

State licenses

Practice roles

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.

• Lee'S Summit R-7 School District

  • Speech-Language Pathologist
  • Lees Summit, MO
  • NPI 1386936599
  NPD (past)
• Lees Summit R-VII School District

  • Local Education Agency (LEA)
  • Lees Summit, MO
  • NPI 1184808321
  NPD (past)

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1245067495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865702",
            "telephone_number": "816-516-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865702",
            "telephone_number": "816-986-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "KRISTI",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2002029874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• David Lee Lyday, DPT
• Kristen Lynch, PT
• Perry E Lyon, LPC
• M a Mirza, LLC
• Bridgette Denise Mack, LPC
• Camri Mack, RN
• Daphne Mack, LPC
• Kinsey Ann Maddox, OT
• Madhukar Chhatre MD PC

• Occupational Therapy Assistant in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.