Individual provider Active NPI

Nellie Wambui Mbote, RN, BSN

  • Registered Nurse
  • Lees Summit, MO
National Provider Identifier
1942891791
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2015027846 Issued in MO
Practice address
4012 SW Flintrock Dr
Lees Summit, MO 64082-4871
Phone
(816) 209-9237
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2015027846 MO Primary

Addresses

Primary practice location

4012 SW Flintrock Dr
Lees Summit, MO 64082-4871

Mailing address

4012 SW Flintrock Dr
Lees Summit, MO 64082-4871
Phone (816) 209-9237

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2015027846MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Golden Hearts LLC CurrentSince Feb 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1942891791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 SW FLINTROCK DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824871",
            "telephone_number": "816-209-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 SW FLINTROCK DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824871",
            "telephone_number": "816-209-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOTE",
        "first_name": "NELLIE",
        "middle_name": "WAMBUI",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2015027846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.