Organization Active NPI

Tristate Chronic Care LLC

  • General Practice Physician
  • Joplin, MO
National Provider Identifier
1598632002
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TRISTATE CHRONIC CARE LLC
Practice address
2216 E 32ND St Ste 203
Joplin, MO 64804-3075
Phone
(417) 295-7455
Fax
(417) 530-1446
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Katy Kennedy
Title
Managing Member
Phone
(912) 996-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2216 E 32ND St Ste 203
Joplin, MO 64804-3075

Mailing address

2216 E 32ND St Ste 203
Joplin, MO 64804-3075
Phone (912) 996-3911

National Provider Directory

National Provider Directory

Locations

2216 E 32nd St
Ste 203
Joplin, MO 64804
Phone (417) 295-7455

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1598632002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 E 32ND ST STE 203",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043075",
            "telephone_number": "912-996-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 E 32ND ST STE 203",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043075",
            "telephone_number": "417-295-7455",
            "fax_number": "417-530-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE CHRONIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "912-996-3911"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.