Sara R Kemper, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2006005281 Issued in MO

Practice address

1000 E Primrose St
Springfield, MO 65807-5154

Phone

(417) 269-9812

Fax

(417) 269-9853

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sara R Flint Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1497856439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075154",
            "telephone_number": "417-269-9812",
            "fax_number": "417-269-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2006005281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MO",
            "identifier": "207077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "FLINT",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Katharine Kelsay, RD, CSG, LD
• Alissa Keltner, M.S. CCC-SLP
• Grace Keltner
• Susan L Keltner
• Elizabeth Kemper
• Nathaniel Levi Kenady, FNP-BC
• Terry Vincent Kendrick, PLPC
• Lydia Lizeth Kennedy, NUTRITIONIST, IBCLC
• Megan Kennedy, ATC
• Nickalaus Craig Kennedy

• Medical Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.