Active NPI
Musudeen Angel Harrell, RN
- Community Health Registered Nurse
- Lees Summit, MO
National Provider Identifier
1578682928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 148064
- Practice address
- 300 SW Noel St
Lees Summit, MO 64063-3810 - Phone
- (816) 678-8061
- Fax
- (816) 774-4389
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 148064 | MO | Primary |
Addresses
Primary practice location
300 SW Noel St
Lees Summit, MO 64063-3810
Mailing address
300 SW Noel St
Lees Summit, MO 64063-3810
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148064 | MO | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courageous Home Care, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Lees Summit, MO
- NPI 1821533399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1578682928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SW NOEL ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SW NOEL ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633810",
"telephone_number": "816-678-8061",
"fax_number": "816-774-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "MUSUDEEN",
"middle_name": "ANGEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2023-07-03",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MO",
"license": "148064",
"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 3, 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.