Active NPI
Jill Suzanne Nesbitt, LP
- Psychologist
- Lawrence, KS
National Provider Identifier
1750715827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2535
- Practice address
- 4000 W 6TH St B 199
Lawrence, KS 66045-7559 - Phone
- (778) 874-3964
- NPI assigned
- Aug 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2487 | KS | |
| Psychologist | 103T00000X | 2535 | KS | Primary |
Addresses
Primary practice location
4000 W 6TH St B 199
Lawrence, KS 66045-7559
Mailing address
4000 W 6TH St B 199
Lawrence, KS 66045-7559
Phone (778) 874-3964
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2535 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684022400000",
"number": "1750715827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W 6TH ST B 199",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457559",
"telephone_number": "778-874-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W 6TH ST B 199",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457559",
"telephone_number": "778-874-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESBITT",
"first_name": "JILL",
"middle_name": "SUZANNE",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2023-05-14",
"certification_date": "2023-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "2487",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "2535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.