Organization Active NPI

Jasper Health Worx LLC

  • Family Medicine Physician
  • Willow Springs, MO
National Provider Identifier
1689446189
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JASPER HEALTH WORX LLC
Practice address
300B Industrial Dr
Willow Springs, MO 65793-9573
Phone
(877) 291-6488
Fax
(812) 480-0280
NPI assigned
Oct 27, 2023
Organization subpart
Yes
Parent organization
JASPER HEALTH WORX LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Kelli Lampert
Title
Director of Compliance
Phone
(812) 482-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

300B Industrial Dr
Willow Springs, MO 65793-9573

Mailing address

300B Industrial Dr
Willow Springs, MO 65793-9573
Phone (877) 291-6488

Other names 1

  • Health WoRx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jasper Health Worx LLC4 organizations share this tax ID, including this one
Part of
Jasper Health Worx LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300B Industrial Dr
Willow Springs, MO 65793
Phone (877) 291-6488

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1689446189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300B INDUSTRIAL DR",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657939573",
            "telephone_number": "877-291-6488",
            "fax_number": "812-480-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B INDUSTRIAL DR",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657939573",
            "telephone_number": "877-291-6488",
            "fax_number": "812-480-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER HEALTH WORX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASPER HEALTH WORX LLC",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "LAMPERT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "812-482-1041"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health WoRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.