Active NPI
Kimberly Bruntzel
- Social Worker
- Olathe, KS
National Provider Identifier
1730923129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13636
- Practice address
- 1125 W Spruce St
Olathe, KS 66061-3123 - Phone
- (913) 826-4200
- NPI assigned
- Jun 21, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 13636 | KS | Primary |
Addresses
Primary practice location
1125 W Spruce St
Olathe, KS 66061-3123
Mailing address
6000 Lamar Ave
Ste 130
Mission, KS 66202-3234
Phone (913) 826-4200
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 |
|---|---|---|---|
| 13636 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1730923129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAMAR AVE",
"address_2": "STE 130",
"city": "MISSION",
"state": "KS",
"postal_code": "662023234",
"telephone_number": "913-826-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 W SPRUCE ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660613123",
"telephone_number": "913-826-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNTZEL",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "13636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.