Active NPI
Lizy Mary Kochipillai, APRN
- Family Nurse Practitioner
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-77856
- Practice address
- 10977 Granada LN Ste 105
Leawood, KS 66211-1415 - Phone
- (913) 215-5008
- Fax
- (816) 447-3960
- NPI assigned
- Nov 30, 2017
- Last updated
- Dec 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-77856 | KS | Primary |
Addresses
Primary practice location
10977 Granada LN Ste 105
Leawood, KS 66211-1415
Mailing address
PO Box 875743
Kansas City, MO 64187-5743
Phone (816) 332-7280
Other practice location 1
15630 Pinehurst Dr Ste 5
Basehor, KS 66007-8238
Phone (913) 662-7042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686
6509 W 103Rd St
Overland Park, KS 66212-1728
Phone (913) 649-3701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-77856 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Post Acute Medical Services 1 PA | Multi-Specialty | Current | Accepting new patients |
| Inpatient Consultants of Kansas PA | Multi-Specialty | Current | Accepting new patients |
| Curana Health of Missouri-Kansas LLC | Multi-Specialty | Current | Accepting new patients |
| NV Pacs 2 LLC | Multi-Specialty | Current | Accepting new patients |
| Inpatient Consultants of Kansas PA | Multi-Specialty | Current | Accepting new patients |
| CS Pacs 3 Midwest LLC | Multi-Specialty | Current | Accepting new patients |
Locations
12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808
17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686
6509 W 103rd St
Overland Park, KS 66212
Phone (913) 649-3701
601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Colwich, KS
- NPI 1124557020
Multi-Specialty
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1548563737
Multi-Specialty
-
dba Elite Patient Care
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1306165337
KS, Multi-Specialty
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225331002
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1679087423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 875743",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641875743",
"telephone_number": "816-332-7280",
"fax_number": "816-447-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10977 GRANADA LN STE 105",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111415",
"telephone_number": "913-215-5008",
"fax_number": "816-447-3960"
}
],
"practiceLocations": [
{
"address_1": "15630 Pinehurst Dr Ste 5",
"address_purpose": "LOCATION",
"city": "Basehor",
"state": "KS",
"postal_code": "660078238",
"country_code": "US",
"telephone_number": "913-662-7042",
"fax_number": "913-662-7046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCHIPILLAI",
"first_name": "LIZY",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-77856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.