NPIMap

Organization Active NPI

Individual

  • Nursing Care Agency
  • Cuba, MO
National Provider Identifier
1952724932
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
2010024399 Issued in MO
Legal business name
INDIVIDUAL
Practice address
1019 Westside Dr
Cuba, MO 65453-1025
Phone
(573) 885-1607
Fax
(573) 885-0428
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mrs. Kimberly Ann Ghirardi, RN, BSN
Title
Eastern Regional District Manager
Phone
(314) 220-0928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 2010024399 MO Primary

Addresses

Primary practice location

1019 Westside Dr
Cuba, MO 65453-1025

Mailing address

7933 Elmont Rd
Sullivan, MO 63080-3601
Phone (314) 220-0928

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1952724932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 ELMONT RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630803601",
            "telephone_number": "314-220-0928",
            "fax_number": "573-885-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WESTSIDE DR",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531025",
            "telephone_number": "573-885-1607",
            "fax_number": "573-885-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "GHIRARDI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EASTERN REGIONAL DISTRICT MANAGER",
        "authorized_official_telephone_number": "314-220-0928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "2010024399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.