Nancy B Israel, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

105698 Issued in MO

Legal business name

NANCY B ISRAEL, MD, LLC

Doing business as

Nancy Israel, MD

Practice address

15144 Pawnee Cir
Leawood, KS 66224-3832

Phone

(913) 681-5871

Fax

(913) 897-2166

NPI assigned

Mar 14, 2006

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy B Israel, MDNPI 1750350674

Title

President

Phone

(913) 681-5871

Specialties & licenses 1

Addresses

Other names 1

• NANCY ISRAEL, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

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.

• Nancy Israel, MD

  • Psychiatry Physician
  • Leawood, KS
  • NPI 1750350674
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1477522399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23563",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662830563",
            "telephone_number": "913-248-9693",
            "fax_number": "913-248-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15144 PAWNEE CIR",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243832",
            "telephone_number": "913-681-5871",
            "fax_number": "913-897-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY B ISRAEL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-681-5871",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "105698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NANCY ISRAEL, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Leawood, KS
• Providers in Leawood, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.