| Lisa Nelson, DNP | |
|
20 Ne Saint Lukes Blvd Ste 350, Lees Summit, MO 64086-6007 | |
| (816) 347-5600 | |
| (816) 347-5674 |
| Full Name | Lisa Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 20 Ne Saint Lukes Blvd Ste 350, Lees Summit, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174097810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 14-125543031 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2012017308 (Missouri) | Primary |
| Entity Name | Liveactive Multispecialty Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558093575 PECOS PAC ID: 9436520954 Enrollment ID: O20230130001657 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Nelson, DNP 20 Ne Saint Lukes Blvd Ste 350, Lees Summit, MO 64086-6007 Ph: (816) 347-5600 | Lisa Nelson, DNP 20 Ne Saint Lukes Blvd Ste 350, Lees Summit, MO 64086-6007 Ph: (816) 347-5600 |
Sherry L Broadhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 | |
Rachael Goodman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063 Phone: 816-434-5205 Fax: 816-434-5207 | |
Ms. Brenda Sue Salazar, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 816-447-3960 | |
Mr. Thomas Christian Sims, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 | |
Brittany Ann Shingleton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 Se Briarcroft St, Lees Summit, MO 64063 Phone: 816-872-8110 | |
Mrs. Makenzie Kayla Stroup, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-533-4398 | |
Flora Ann Gorham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 |