Active NPI
James Henry Brown Jr.
- Community Health Worker
- Kansas City, MO
National Provider Identifier
1245878198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3544 Highland Ave
Kansas City, MO 64109-2564 - Phone
- (816) 772-6109
- NPI assigned
- Dec 11, 2019
- Last updated
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MO | Primary |
Addresses
Primary practice location
3544 Highland Ave
Kansas City, MO 64109-2564
Mailing address
2407 SW Springwater RDG
Lees Summit, MO 64081-2130
Phone (816) 772-6109
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gynesisdayresidential19@gmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1245878198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 SW SPRINGWATER RDG",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812130",
"telephone_number": "816-772-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 HIGHLAND AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641092564",
"telephone_number": "816-772-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JAMES",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-11",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gynesisdayresidential19@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3544 Highland Ave",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641092564",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.