Georgia Severns, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2003006875 Issued in MO

Practice address

901 NE Independence Ave
Lees Summit, MO 64086-5544

Phone

(816) 581-5889

Fax

(816) 347-3046

NPI assigned

Nov 3, 2016

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 names 1

• Tamara Severns Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1972055291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W 38TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112926",
            "telephone_number": "816-581-5889",
            "fax_number": "816-347-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NE INDEPENDENCE AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865544",
            "telephone_number": "816-581-5889",
            "fax_number": "816-347-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERNS",
        "first_name": "GEORGIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2003006875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "SEVERNS",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Serc Rehabilitation Partners LLC
• Serc Rehabilitation Partners, LLC
• Serc Rehabilitation Partners, LLC
• Inessa Izyevna Sergeyeva, FNP-BC
• John Paul Sevcik, DPM
• Annmarie Lenae Shackelford, OT
• Tracey Lynn Shaffer, R.D.
• Sahil Rajesh Shah, MD
• Jeanette Marjorie Shanholtzer, RNC MSN APRN WHNP
• Mackenzie Nicole Shanks, MS, PLPC, NCC

• Licensed Practical Nurse in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.