Organization Active NPI

Autis-Imagination LLC

  • Durable Medical Equipment & Medical Supplies
  • Blue Springs, MO
National Provider Identifier
1376780478
Registry record updated Jan 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AUTIS-IMAGINATION LLC
Practice address
1500 NW Mock Ave # C
Blue Springs, MO 64015-3095
Phone
(816) 213-6173
Fax
(816) 229-6997
NPI assigned
Jan 11, 2009
Last updated
Jan 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2009

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

Authorized official

Name
Mrs. Lisa A. Grant, CCC-SLPNPI 1437200524
Title
Owner/SLP
Phone
(816) 213-6173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1500 NW Mock Ave # C
Blue Springs, MO 64015-3095

Mailing address

1500 NW Mock Ave # C
Blue Springs, MO 64015-3095
Phone (816) 213-6173

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231632000000",
    "number": "1376780478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW MOCK AVE # C",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153095",
            "telephone_number": "816-213-6173",
            "fax_number": "816-229-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW MOCK AVE # C",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153095",
            "telephone_number": "816-213-6173",
            "fax_number": "816-229-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTIS-IMAGINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-11",
        "last_updated": "2009-01-11",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "816-213-6173",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2009; 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.