NEVADA LEE (NPI# 1750464723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750464723 |
| Entity Type | Individual |
| Full Name | NEVADA LEE |
| Credential | M.D |
| Practice Address |
6317 Evanston Ave Raytown MO 64133-4929 |
| Practice Telephone | 8163533939 |
| Practice Fax Number | 8163532688 |
| Mailing Telephone | 8163533939 |
| Mailing Fax Number | 8163532688 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
R6C78 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE | 0005073A | 01 |
| Street Address |
6317 EVANSTON AVE |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124565247 | Joseph Williams | Counselor | 6317 Evanston Ave, Raytown, MO 64133-4929 | 2017-01-26 |
| 1265869176 | Hometown Family Medicine LLC | Clinic/Center | 6317 Evanston Ave, Raytown, MO 64133-4929 | 2013-10-09 |
| 1770779530 | Linnea Williams | Family Medicine | 6317 Evanston Ave, Raytown, MO 64133-4929 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164781035 | Carlyn Molstad Kline | Family Medicine | 17 Stonecrest, St. Joseph, MO 64506-3126 | 2012-05-11 |
| 1730346230 | Ltc Consultants LLC | Family Medicine | 16201 Bluegrass Ct, Belton, MO 64012-3342 | 2008-05-21 |
| 1487853750 | Susan E. Pearson, LLC | Family Medicine | 6209 Midrivers Mall Dr, #317, St Charles, MO 63304-1102 | 2007-07-16 |
| 1356476071 | Thomas M Macdonnell | Family Medicine | 665 State Highway J, Marshfield, MO 65706-8253 | 2007-02-22 |
| 1538232772 | Randall D. Huss | Family Medicine | 910 W 10th St, Rolla, MO 65401-2904 | 2006-11-16 |
| 1447361977 | Richard O Schamp | Family Medicine | 6255 San Bonita Ave, Saint Louis, MO 63105-3210 | 2006-08-31 |
| 1265546923 | Patricia Sue Inman | Family Medicine | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4834 | 2006-08-19 |
| 1770546665 | Kerr Healthcare Services LLC | Family Medicine | 11851 Arbor Cir, Rolla, MO 65401-7476 | 2006-04-11 |
| 1831152370 | Jeffery Alan Kerr | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2006-04-07 |
| 1194796490 | Donald Charles Walkenhorst | Family Medicine | 759 Lafeil Dr, Manchester, MO 63021-7067 | 2006-01-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.