Maria Kintu, LPN,BSA

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

24-41914-122IV Issued in KS

Practice address

12316 W 79TH Terr
Lenexa, KS 66215

Phone

(913) 416-3289

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1245633916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12316 W 79TH TERR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-416-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12316 W 79TH TERR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-416-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTU",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LPN,BSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KS",
            "license": "24-41914-122IV",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "KS",
            "license": "24-41914-122IV",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Licensed Practical Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.