Organization Active NPI

Kimberly Akins-Mumphard

  • Prosthetics Case Management
  • Belleville, IL
National Provider Identifier
1396519781
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
KIMBERLY AKINS-MUMPHARD
Practice address
5720 N Belt W Ste 20-104
Belleville, IL 62226-4661
Phone
(618) 623-5318
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Mrs. Kimberly Renee Akins-MumphardNPI 1063284792
Title
Prosthetic
Phone
(618) 623-5318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

5720 N Belt W Ste 20-104
Belleville, IL 62226-4661

Mailing address

5720 N Belt W # 20-104
Belleville, IL 62226-4661
Phone (618) 623-5318

Other names 1

  • Kimberly Akins-Mumphard Doing business as

National Provider Directory

National Provider Directory

Locations

5720 N Belt W
#20104
Belleville, IL 62226

5720 N Belt W
Ste 20104
Belleville, IL 62226
Phone (618) 623-5318

Practitioners & affiliated clinicians

Practitioners 1

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": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1396519781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 N BELT W # 20-104",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264661",
            "telephone_number": "618-623-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 N BELT W STE 20-104",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264661",
            "telephone_number": "618-623-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY AKINS-MUMPHARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "AKINS-MUMPHARD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROSTHETIC",
        "authorized_official_telephone_number": "618-623-5318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Akins-Mumphard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.