Nancy B Israel, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

105698 Issued in MO

Legal business name

NANCY B ISRAEL, MD, LLC

Practice address

15144 Pawnee Cir
Leawood, KS 66224-3832

Phone

(913) 681-5871

Fax

(913) 897-2166

NPI assigned

Mar 14, 2006

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 identifiers 2

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.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360780B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS CITY",
            "identifier": "35522014",
            "state": "MO"
        }
    ],
    "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.