Active NPI
Jinny Rebecca Lavezzi, D.O.
- Neonatal-Perinatal Medicine Physician
- Kansas City, MO
National Provider Identifier
1053520783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 46729
- Practice address
- 4401 Wornall Rd
Room 2710
Kansas City, MO 64111-3220 - Phone
- (816) 932-2493
- Fax
- (816) 932-6139
- NPI assigned
- May 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 46729 | CO | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Room 2710
Kansas City, MO 64111-3220
Mailing address
4401 Wornall Rd
Room 2710
Kansas City, MO 64111-3220
Phone (816) 932-2493
Other names 1
- Dr. Jinny Rebecca Wilson
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 |
|---|---|---|---|---|
| I20160929000997 | MO | Order and Referring Only - Pediatric Medicine | 5092986554 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S North Hospital | Past | Accepting new patients | |
| Pediatrix Medical Group of Kansas PA | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| St Lukes Hospital of Kansas City | Past | Accepting new patients |
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- Neonatal-Perinatal Medicine Physician
- Wichita, KS
- NPI 1346347051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1053520783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"address_2": "ROOM 2710",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-2493",
"fax_number": "816-932-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"address_2": "ROOM 2710",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-2493",
"fax_number": "816-932-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVEZZI",
"first_name": "JINNY",
"middle_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CO",
"license": "46729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JINNY",
"last_name": "WILSON",
"middle_name": "REBECCA",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.