Active NPI
Andrea Victoria Drum, LMT
- Massage Therapist
- Liberty, MO
National Provider Identifier
1679057624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2014041503
- Practice address
- 106 N Main St
Liberty, MO 64068-1640 - Phone
- (816) 807-9486
- NPI assigned
- Sep 15, 2018
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2014041503 | MO | Primary |
Addresses
Primary practice location
106 N Main St
Liberty, MO 64068-1640
Mailing address
1601 NE 38TH St
Kansas City, MO 64116-2303
Phone (816) 807-9486
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014041503 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536969600000",
"number": "1679057624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 NE 38TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641162303",
"telephone_number": "816-807-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N MAIN ST",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681640",
"telephone_number": "816-807-9486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUM",
"first_name": "ANDREA",
"middle_name": "VICTORIA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-15",
"last_updated": "2018-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2014041503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.