Active NPI
Jordyn Kemp
- Athletic Trainer
- Belton, MO
National Provider Identifier
1811541428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2020026093
- Practice address
- 801 W North Ave
Belton, MO 64012-1885 - Phone
- (816) 348-1200
- NPI assigned
- Jul 31, 2019
- Last updated
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 2020026093 | MO | Primary |
Addresses
Primary practice location
801 W North Ave
Belton, MO 64012-1885
Mailing address
1232 Rich Blvd
Warrensburg, MO 64093-4503
Phone (660) 473-3356
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 |
|---|---|---|---|
| 2020026093 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1811541428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 RICH BLVD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640934503",
"telephone_number": "660-473-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W NORTH AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "640121885",
"telephone_number": "816-348-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "JORDYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2020026093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, MO
- Syed Mustafa Karim, M.D.
- Jeremy J. Katz, MD
- Harleen Kaura, PHYSICIAN ASSISTANT
- Kimberly D Keen, CPS
- Jennifer Kellinger, APRN
- Kenny Kidd
- Alison Marie Kinney, PT, DPT
- Kirby J. Robinson, DDS of Missouri, LLC (Affordable Dentures & Implants - Belton)
- Sankar Reddy Kodidhi, MD
- Melanie Renee Shaw Kovarik, ARNP, BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.