Lesa Brock

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

091729 Issued in MO

Practice address

927 NE Columbus St
Lees Summit, MO 64086-2977

Phone

(816) 347-3270

Fax

(816) 524-2235

NPI assigned

Apr 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1154775898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 NE COLUMBUS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640862977",
            "telephone_number": "816-347-3270",
            "fax_number": "816-524-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 NE COLUMBUS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640862977",
            "telephone_number": "816-347-3270",
            "fax_number": "816-524-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "LESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "091729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Adair Briner, SLP
• Michelle Rene Britton-Mehlisch, M.D.
• Jasmine Lanae Britton, LPC
• Sherry L Broadhurst, NP
• Christie Michelle Brock, D.O.
• William N Brodine, MD
• Erin Neill Bromley, D.D.S.
• Lori Brooks
• Sarah Broughton, FNP-C
• Shellee Cates Brouhard, M.A. C.C.C. SLP

• Addiction (Substance Use Disorder) Registered Nurse in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.