Dr Nura Yasin an Operating Division of Providence Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR NURA YASIN AN OPERATING DIVISION OF PROVIDENCE MEDICAL CENTER

Practice address

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4564

Phone

(913) 299-3700

Fax

(913) 299-3050

NPI assigned

Oct 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James T Paquette

Title

Ceo, Providence Health

Phone

(913) 596-4000

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sisters of Charity of Leavenworth Health System Inc

  • Institutional Pharmacy
  • Wheat Ridge, CO
  • NPI 1629515028

  Member Of

  NPD member

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629154927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12093",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661120093",
            "telephone_number": "913-825-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094564",
            "telephone_number": "913-299-3700",
            "fax_number": "913-299-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NURA YASIN AN OPERATING DIVISION OF PROVIDENCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAQUETTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO, PROVIDENCE HEALTH",
        "authorized_official_telephone_number": "913-596-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn May Downing, DNP
• Baylie Doyal, PT
• Alexandria Lee Doyle, CRNA
• Pamela Doyle, RN
• Darian Dozier, DO
• Dr. Greg J Folsom, an Operating Division of Providence Medical Center
• Dr. Joe M. Herrera LLC
• Julia Dragich, APRN
• Matthew L Drake, M.D.
• Molly Drake

• Family Medicine Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Medicine Physician in Kansas

• 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.