NPI 1669882106 · live from the CMS NPI Registry
Lisa M. Bennett, NP
Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1669882106, active.
NPI record
| NPI | 1669882106 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2401 Gillham, Endocrinology, Kansas City, MO 64108 |
| Practice phone | 816-855-1979 |
| Mailing address | 2401 Gillham Rd., Provider Enrollment, Kansas City, MO 64108 |
| Enumerated | May 6, 2014 |
| Last updated | December 12, 2018 |
| Sole proprietor | No |
| Other names | Lisa Byrne |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 78393 (KS) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 5756-33 (WI) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2017027623 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.