Active NPI
Jay Devineni
- Student in an Organized Health Care Education/Training Program
- Kansas City, MO
National Provider Identifier
1811657364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2411 Holmes St
Kansas City, MO 64108-2741 - Phone
- (816) 235-1808
- NPI assigned
- Dec 25, 2021
- Last updated
- Apr 16, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
2411 Holmes St
Kansas City, MO 64108-2741
Mailing address
2411 Holmes St
Kansas City, MO 64108-2741
Phone (816) 235-1808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250707002528 | MO | Order and Referring Only - Internal Medicine | 1052825627 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jdevineni673466@direct.saint-lukes.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1811657364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082741",
"telephone_number": "816-235-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082741",
"telephone_number": "816-235-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINENI",
"first_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-25",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
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- Sara Michelle Devero, DPT
- Danielle Claire Deville, PHD
- Joseph Wesley Devine, LPN
- Barbara Ann Devorin, APRN, BC, PNP
- Devoted Care LLC
- Paul Dew, D.O.
- Janae Nicole Deweese
- Emelia Reuterfors Dewey, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.