Jo Ellen Fuentes, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

THR-587 Issued in KS

Practice address

15238 Broadmoor St
Overland Park, KS 66223-3137

Phone

(816) 529-7307

NPI assigned

Mar 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568589398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 STARK AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641383165",
            "telephone_number": "816-529-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15238 BROADMOOR ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233137",
            "telephone_number": "816-529-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JO",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "THR-587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy R Fry, D.D.S., M.S.
• Olivia Fry
• Robert W Fry, D.D.S., M.S.
• Selena Y Fu, M.D.
• Elizabeth Fuemmeler, AUD
• Grace Bardwell Fugate, M.S.
• Briana Fugitt, MS, ATC/LAT
• Devin E Fuhrmann, DPT
• Bailee Marie Fuller, PTA
• Suzanne Marie Fuller

• Specialist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.