Active NPI
Kimberly Akins-Mumphard
- Prosthetics Case Management
- Belleville, IL
National Provider Identifier
1396519781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Renee Akins-Mumphard
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Prosthetics Case Management
- Belleville, IL
- NPI 1063284792
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.