Active NPI
Autis-Imagination LLC
- Durable Medical Equipment & Medical Supplies
- Blue Springs, MO
National Provider Identifier
1376780478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa A. Grant, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Blue Springs, MO
- NPI 1437200524
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.