NPIMap

Organization Active NPI

Nevada Urgent Care

  • Clinic/Center
  • Nevada, MO
National Provider Identifier
1902096308
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
089091 Issued in MO
Legal business name
NEVADA URGENT CARE
Practice address
111 N Elm St
Nevada, MO 64772-2609
Phone
(417) 667-9000
Fax
(417) 667-9029
NPI assigned
Jul 31, 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/President
Phone
(417) 667-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 089091 MO Primary

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 3

IdentifierTypeStateIssuer
504034109MedicaidMO
39299015OtherMOBCBS KC
200517480AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1902096308",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "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/PRESIDENT",
        "authorized_official_telephone_number": "417-667-9000",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "089091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504034109",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "39299015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200517480A",
            "state": "KS"
        }
    ],
    "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.