Individual provider Active NPI

Lilian M Daiz, FNP, BC

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1861694481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45710 Issued in KS
Practice address
619 Ann Ave
Kansas City, KS 66101-3038
Phone
(913) 573-6706
Fax
(913) 573-6729
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 45710 KS Primary

Addresses

Primary practice location

619 Ann Ave
Kansas City, KS 66101-3038

Mailing address

7406 Nall Ave., Williamsbrook Condominiums
Overland Park, KS 66208-2455
Phone (913) 485-5230

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

State licenses

LicenseStateTypeSpecialty
45710KSMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861694481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 NALL AVE., WILLIAMSBROOK CONDOMINIUMS",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662082455",
            "telephone_number": "913-485-5230",
            "fax_number": "913-573-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 ANN AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661013038",
            "telephone_number": "913-573-6706",
            "fax_number": "913-573-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIZ",
        "first_name": "LILIAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.