Individual provider Active NPI

Ana Luisa Kump

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lees Summit, MO
National Provider Identifier
1497436612
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
904 SW 8TH St
Lees Summit, MO 64081-2620
Phone
(913) 375-8130
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MO Primary

Addresses

NPPES NPI Registry

Primary practice location

904 SW 8TH St
Lees Summit, MO 64081-2620

Mailing address

904 SW 8TH St
Lees Summit, MO 64081-2620
Phone (913) 375-8130

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2023.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1497436612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SW 8TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812620",
            "telephone_number": "913-375-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SW 8TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812620",
            "telephone_number": "913-375-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMP",
        "first_name": "ANA",
        "middle_name": "LUISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.