Individual provider Active NPI

Lisa R Fitch, RNC, WHNP

  • Women's Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1124172762
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN099746 Issued in MO
Practice address
200 NE 54TH St
Suite 111
Kansas City, MO 64118-4338
Phone
(816) 455-7400
Fax
(816) 455-7404
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 099746 MO
Women's Health Nurse Practitioner 363LW0102X RN099746 MO Primary

Addresses

Primary practice location

200 NE 54TH St
Suite 111
Kansas City, MO 64118-4338

Mailing address

200 NE 54TH St
Suite 111
Kansas City, MO 64118-4338
Phone (816) 455-7400

Other identifiers 1

IdentifierTypeStateIssuer
099746OtherMOSTATE LICENSE NUMBER

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
099746MOMDWomen's Health Nurse Practitioner
RN099746MOMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1124172762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST",
            "address_2": "SUITE 111",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184338",
            "telephone_number": "816-455-7400",
            "fax_number": "816-455-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST",
            "address_2": "SUITE 111",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184338",
            "telephone_number": "816-455-7400",
            "fax_number": "816-455-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "RNC, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "099746",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "RN099746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "099746",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 24, 2012; 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.