IMAGE SPECIALTIES L.L.C. NPI 1629356142

NPI Information

  • NPI: 1629356142
  • Provider Name: IMAGE SPECIALTIES, L.L.C.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 5213 FREDERICK AVE
    SAINT JOSEPH, MO
    ZIP 64506
  • Phone: (816) 232-6459

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NPI Details

IMAGE SPECIALTIES, L.L.C. is a family nurse practitioner in Saint Joseph, MO. IMAGE SPECIALTIES, L.L.C. NPI is 1629356142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5213 FREDERICK AVE
SAINT JOSEPH, MO
ZIP 64506-263
Phone: (816) 232-6459
Fax: (816) 232-6459

The provider's authorized official is Theresa R Maxwell .
The authorized official title is Owner and has the following contact phone number (816) 232-6459.

The enumeration date for this NPI number is 8/1/2011 and was last updated on 8/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily096655MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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