Individual provider Active NPI

Patricia J Lee, NURSE PRACTIONER

  • Rheumatology Physician
  • Kansas City, MO
National Provider Identifier
1720040363
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
207RR0500X Issued in MO
Practice address
4330 Wornall Rd
Med Plaza II, 4TH Floor
Kansas City, MO 64111-3217
Phone
(816) 531-0930
Fax
(816) 753-2671
NPI assigned
Apr 6, 2006
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 207RR0500X MO Primary

Addresses

Primary practice location

4330 Wornall Rd
Med Plaza II, 4TH Floor
Kansas City, MO 64111-3217

Mailing address

4330 Wornall Rd
Med Plaza II, 4TH Floor
Kansas City, MO 64111-3217
Phone (816) 531-0930

Other identifiers 1

IdentifierTypeStateIssuer
424095OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
207RR0500XMOMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Rheumatic Disease & the Center for Allergy-Immunology PC Rheumatology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1720040363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD",
            "address_2": "MED PLAZA II, 4TH FLOOR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113217",
            "telephone_number": "816-531-0930",
            "fax_number": "816-753-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD",
            "address_2": "MED PLAZA II, 4TH FLOOR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113217",
            "telephone_number": "816-531-0930",
            "fax_number": "816-753-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "207RR0500X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "424095",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.