Nevada Lee, M.D

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

R6C78 Issued in MO

Practice address

6317 Evanston Ave
Raytown, MO 64133-4929

Phone

(816) 353-3939

Fax

(816) 353-2688

NPI assigned

Oct 23, 2006

Last updated

Jul 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

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.

• Curana Health of Missouri-Kansas LLC

  dba Elite Patient Care

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1306165337

  Geriatric Medicine

  Medicare reassignment NPD
• Nevada Lee MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Kansas City, MO
  • NPI 1457483406
  NPD (past) Authorized official
• Centerpoint Medical Center of Independence, LLC

  dba Centerpoint Medical Center

  • Rehabilitation Hospital Unit
  • Independence, MO
  • NPI 1821035882
  NPD (past)
• Hometown Family Medicine LLC

  • Primary Care Clinic/Center
  • Raytown, MO
  • NPI 1265869176
  NPD (past)
• Medical Care Providers of KC, PC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1598878928
  NPD (past)
• P & C Consultant Services

  • Pulmonary Disease Physician
  • Independence, MO
  • NPI 1073204673
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1750464723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 EVANSTON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334929",
            "telephone_number": "816-353-3939",
            "fax_number": "816-353-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 EVANSTON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334929",
            "telephone_number": "816-353-3939",
            "fax_number": "816-353-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NEVADA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R6C78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0005073A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Wayne Lamb, PHARMD
• Danielle Larson
• Janice E Lawrence, OTR/L, CHT
• Michelle Lawson
• William Wayne Lawson, D.C.
• Legacy Healthcare Services Inc
• Kristin Lehleitner
• Matthew A. Liberator, LPC
• Life Changes Home Care, LLC
• Lighthouse Dental LLC

• Geriatric Medicine (Family Medicine) Physician in Raytown, MO
• Providers in Raytown, MO by specialty
• Geriatric Medicine (Family Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.