Organization Active NPI

Hometown Family Medicine LLC

  • Primary Care Clinic/Center
  • Raytown, MO
National Provider Identifier
1265869176
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2008013774 Issued in MO
Legal business name
HOMETOWN FAMILY MEDICINE LLC
Practice address
6317 Evanston Ave
Raytown, MO 64133-4929
Phone
(816) 353-3939
Fax
(816) 353-2688
NPI assigned
Oct 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Dr. Linnea Marie Williams, D.O.
Title
Owner/ President
Phone
(816) 678-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2008013774 MO Primary

Addresses

Primary practice location

6317 Evanston Ave
Raytown, MO 64133-4929

Mailing address

3516 Cherry St
Kansas City, MO 64109-2258
Phone (816) 756-5375

Other identifiers 1

IdentifierTypeStateIssuer
1770779530OtherMOINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

6317 Evanston Ave
Raytown, MO 64133
Phone (816) 353-3939

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1265869176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 CHERRY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641092258",
            "telephone_number": "816-756-5375",
            "fax_number": "816-756-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 EVANSTON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334929",
            "telephone_number": "816-353-3939",
            "fax_number": "816-353-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LINNEA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "816-678-2069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "2008013774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1770779530",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.