Active NPI
Mary Sams
- Social Worker
- Leavenworth, KS
National Provider Identifier
1255890653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10638
- Practice address
- 18781 Jarbalo Rd
Leavenworth, KS 66048-7390 - Phone
- (913) 944-0800
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10638 | KS | Primary |
Addresses
Primary practice location
18781 Jarbalo Rd
Leavenworth, KS 66048-7390
Mailing address
PO Box 286
Shawnee Mission, KS 66201-0286
Phone (913) 944-0800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10638 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1255890653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 286",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662010286",
"telephone_number": "913-944-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18781 JARBALO RD",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660487390",
"telephone_number": "913-944-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMS",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "10638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.