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NPI 1427582717ActiveIndividual· Licensed Practical Nurse· Lees Summit, MO

Licensed Practical Nurse in Lees Summit, Missouri, licensed in MO, with an NPI issued in April 2017.

Overview

NPI1427582717
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 13, 2017
Last updated in NPPESApr 13, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000X2013011544MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Lees Summit

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