Organization Active NPI

Nevada Lee MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1457483406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
R6C78 Issued in MO
Legal business name
NEVADA LEE MD PC
Practice address
800 W 47TH St
Suite 220
Kansas City, MO 64112-1251
Phone
(816) 561-8200
Fax
(816) 561-8201
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nevada Lee, M.D.NPI 1750464723
Title
President
Phone
(816) 561-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X R6C78 MO Primary

Addresses

Primary practice location

800 W 47TH St
Suite 220
Kansas City, MO 64112-1251

Mailing address

800 W 47TH St
Suite 220
Kansas City, MO 64112-1251
Phone (816) 561-8200

National Provider Directory

National Provider Directory

Locations

4520 Madison Ave
#304
Kansas City, MO 64111
Phone (816) 561-8200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457483406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 47TH ST",
            "address_2": "SUITE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121251",
            "telephone_number": "816-561-8200",
            "fax_number": "816-561-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 47TH ST",
            "address_2": "SUITE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121251",
            "telephone_number": "816-561-8200",
            "fax_number": "816-561-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NEVADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-561-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R6C78",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.