Individual provider Active NPI

Bobbi Janelle Brown, LMT

  • Health Service Clinic/Center
  • Lee's Summit, MO
National Provider Identifier
1710463963
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2014022480 Issued in MO
Practice address
664 SE Bayberry LN Ste 102
Lees Summit, MO 64063-4387
Phone
(913) 636-5631
NPI assigned
Jul 11, 2018
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2014022480 MO Primary

Addresses

Primary practice location

664 SE Bayberry LN Ste 102
Lees Summit, MO 64063-4387

Mailing address

664 SE Bayberry LN Ste 102
Lees Summit, MO 64063-4387
Phone (913) 636-5631

Other practice location 1

7410 Switzer St
Shawnee, KS 66203-4550
Phone (913) 962-7408

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

LicenseStateTypeSpecialty
2014022480MOMDHealth Service Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1710463963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 SE BAYBERRY LN STE 102",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634387",
            "telephone_number": "913-636-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 SE BAYBERRY LN STE 102",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634387",
            "telephone_number": "913-636-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 Switzer St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662034550",
            "country_code": "US",
            "telephone_number": "913-962-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BOBBI",
        "middle_name": "JANELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "2014022480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.