Individual provider Active NPI

Brianna Cullen Doerries

  • Occupational Therapist
  • Lee's Summit, MO
National Provider Identifier
1982059101
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
301 NE Tudor Rd
Lees Summit, MO 64086-5702
Phone
(816) 986-1000
NPI assigned
Apr 25, 2016
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR2890 AR
Occupational Therapist 225X00000X MO Primary

Addresses

Primary practice location

301 NE Tudor Rd
Lees Summit, MO 64086-5702

Mailing address

705 W 90TH Ter
Kansas City, MO 64114-3548
Phone (479) 650-7976

Other practice location 1

10330 Hickman Mills Dr
Kansas City, MO 64137
Phone (816) 994-2592

Other practice location 2

2740 College Ave
Conway, AR 72034-6141
Phone (501) 329-5459

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

LicenseStateTypeSpecialty
OTR2890ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouts Therapy Center Occupational Therapist Past Accepting new patients
Lees Summit R-VII School District PastSince Sep 24, 2023 Accepting new patients
Lee's Summit R-7 School District PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1982059101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W 90TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143548",
            "telephone_number": "479-650-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865702",
            "telephone_number": "816-986-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10330 Hickman Mills Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64137",
            "country_code": "US",
            "telephone_number": "816-994-2592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 College Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720346141",
            "country_code": "US",
            "telephone_number": "501-329-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERRIES",
        "first_name": "BRIANNA",
        "middle_name": "CULLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2890",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.