Active NPI
Brianna Cullen Doerries
- Occupational Therapist
- Lee's Summit, MO
National Provider Identifier
1982059101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 301 NE Tudor Rd
Lees Summit, MO 64086-5702 - Phone
- (816) 986-1000
- NPI assigned
- Apr 25, 2016
- Last updated
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2890 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy Center | Occupational Therapist | Past | Accepting new patients |
| Lees Summit R-VII School District | Past | Accepting new patients | |
| Lee's Summit R-7 School District | Past | 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.
-
- Speech-Language Pathologist
- Lee's Summit, MO
- NPI 1386936599
-
- Local Education Agency (LEA)
- Lee's Summit, MO
- NPI 1184808321
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.