Active NPI
Nancy Jo Becker, M.D.
- Specialist
- Olathe, KS
National Provider Identifier
1396739843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AB2368555
- Practice address
- 13104 S Homestead LN
Olathe, KS 66061-9686 - Phone
- (913) 706-0794
- Fax
- (913) 661-9173
- NPI assigned
- Sep 9, 2005
- Reactivated
- Jan 26, 2016
- Last updated
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AB2368555 | KS | Primary |
Addresses
Primary practice location
13104 S Homestead LN
Olathe, KS 66061-9686
Mailing address
13104 S Homestead LN
Olathe, KS 66061
Phone (913) 706-0794
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-America Rheumatology Consultants | Specialist | Current | Accepting new patients |
| United Imaging Consultants, LLC | Past | Accepting new patients |
Locations
5701 W 119th St
Ste 209
Overland Park, KS 66209
Phone (913) 661-9980
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Specialist
- Overland Park, KS
- NPI 1043204852
-
- Diagnostic Radiology Physician
- Lenexa, KS
- NPI 1588669766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1396739843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13104 S HOMESTEAD LN",
"city": "OLATHE",
"state": "KS",
"postal_code": "66061",
"telephone_number": "913-706-0794",
"fax_number": "913-661-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13104 S HOMESTEAD LN",
"city": "OLATHE",
"state": "KS",
"postal_code": "660619686",
"telephone_number": "913-706-0794",
"fax_number": "913-661-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "NANCY",
"middle_name": "JO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-09",
"last_updated": "2016-02-03",
"deactivation_date": "2011-03-09",
"reactivation_date": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "AB2368555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.