Lisa Jennifer Sanders, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2005036712 Issued in MO

Practice address

900 W 48TH PL Ste 900
Kansas City, MO 64112-1899

Phone

(816) 572-4615

Fax

(816) 817-5180

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Jennifer Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15764/brand/1/csg/1/fhir/r4

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.

• Mobile Wound Solutions, LLC

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1700181682
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1467476903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 NE AMANDA LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865910",
            "telephone_number": "816-600-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 48TH PL STE 900",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121899",
            "telephone_number": "816-572-4615",
            "fax_number": "816-817-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LISA",
        "middle_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2005036712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DAVIS",
            "middle_name": "JENNIFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronda Gay Sanders-Mowbray, M.S.W.
• Angela Cathleen Sanders, PHARMD
• Annette Elizabeth Sanders, FNP-C
• Denise Elizabeth Sanders, APRN
• Dennis Madison Sanders Jr., LPN
• Ronda Sanders
• Shayla Sanders, FNP-BC
• Tyriana Sanders
• Alan J Sanderson, LCSW
• Holly Elaine Sanderson, MS, PLPC

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.