NPIMap

Organization Active NPI

Nevada Urgent Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Nevada, MO
National Provider Identifier
1780863985
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
089091 Issued in MO
Legal business name
NEVADA URGENT CARE, LLC
Practice address
111 N Elm St
Nevada, MO 64772-2609
Phone
(417) 667-9000
Fax
(417) 667-9029
NPI assigned
Oct 24, 2007
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Deborah S Asberry, NPNPI 1346341930
Title
Owner
Phone
(417) 667-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 089091 MO Primary
Customized Equipment (DME) 332BC3200X 089091 MO
Prosthetic/Orthotic Supplier 335E00000X 089091 MO

Addresses

Primary practice location

111 N Elm St
Nevada, MO 64772-2609

Mailing address

PO Box 307
Nevada, MO 64772-0307
Phone (417) 667-9000

Other identifiers 2

IdentifierTypeStateIssuer
39299015OtherMOBCBS KC
624034104MedicaidMO

National Provider Directory

National Provider Directory

Locations

111 N Elm St
Nevada, MO 64772
Phone (417) 667-2233

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1780863985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647720307",
            "telephone_number": "417-667-9000",
            "fax_number": "417-667-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ELM ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722609",
            "telephone_number": "417-667-9000",
            "fax_number": "417-667-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "ASBERRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-667-9000",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "089091",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "089091",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "089091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "39299015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624034104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.