KND Development 59, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

KND DEVELOPMENT 59, LLC

Practice address

10018 Kennerly Rd
3Rd Floor, Hyland Building B, St.
Saint Louis, MO 63128-2106

Phone

(314) 525-8100

Fax

(502) 596-4150

NPI assigned

Dec 8, 2009

Last updated

Aug 16, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

KINDRED HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

Linda L Fisher

Title

SRVP & Cfo

Phone

(502) 596-7358

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Louis South Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• KND Development 59 , LLC

  • Hospitalist Physician
  • Saint Louis, MO
  • NPI 1427387919

  O20100728000826

  Same enrollment
• KND Development 59, LLC

  • Hospitalist Physician
  • Kansas City, MO
  • NPI 1114213394

  O20100728000826

  Same enrollment

Tax ID family

KND Development 5978 organizations share this tax ID, including this one

Part of

Presence Covenant Medical Center

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• KND Development 59 , LLC

  • Hospitalist Physician
  • Saint Louis, MO
  • NPI 1427387919
  NPD tax ID
• KND Development 59, LLC

  • Hospitalist Physician
  • Kansas City, MO
  • NPI 1114213394
  NPD tax ID

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.

• Damon C Clines, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1508800582
  NPD

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1386973105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7358",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 KENNERLY RD",
            "address_2": "3RD FLOOR, HYLAND BUILDING B, ST.",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-8100",
            "fax_number": "502-596-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KND DEVELOPMENT 59, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC",
        "enumeration_date": "2009-12-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SRVP & CFO",
        "authorized_official_telephone_number": "502-596-7358"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MA3115",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Elane Knapp, M.D.
• Carolyn Sue Knarr, M.S.W., L.C.S.W.
• Casey Conrad Knarr, LPC
• Kelly Ann Knauer, PHARMD
• KND Development 59 , LLC
• Jennifer Ann Knebel, ACNP
• Travis Joseph Knebel, PHARM D
• Knee Care Clinics LLC
• Adam Connell Kneepkens, MD
• Ashley Knepp, NNP-BC

• Hospitalist Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Hospitalist Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.