IMAGE SPECIALTIES, L.L.C.
NPI 1629356142
Nurse Practitioner - Family in Saint Joseph, MO

Active since August 01, 2011
5213 FREDERICK AVE, SAINT JOSEPH, MO 64506(816) 232-6459(816) 232-6459 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Image Specialties, L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAGE SPECIALTIES, L.L.C. (NPI 1629356142) is a healthcare organization registered as a family in Saint Joseph, Missouri and active in the NPI registry since August 2011. The organization lists Theresa R Maxwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1629356142
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIMAGE SPECIALTIES, L.L.C.
Location Address5213 FREDERICK AVESaint Joseph, MO 64506-3263
Mailing Address5213 Frederick AveSaint Joseph, MO 64506-3263 · (816) 232-6459 · Fax (816) 232-6459
Fax(816) 232-6459
Organization SubpartNo
Authorized OfficialTheresa R MaxwellOwner · (816) 232-6459
Enumeration DateAugust 1, 2011
Last NPPES UpdateAugust 24, 2011
NPI 1629356142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 096655
5213 FREDERICK AVE, Saint Joseph, MO 64506

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Image Specialties, L.L.C.'s NPI number?

The NPI number for Image Specialties, L.L.C. is 1629356142. It was assigned to this organization in the NPPES registry on August 1, 2011.

Where is Image Specialties, L.L.C. located?

Image Specialties, L.L.C. is located at 5213 Frederick Ave, Saint Joseph, MO 64506. The listed phone number is (816) 232-6459.

What is Image Specialties, L.L.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Image Specialties, L.L.C. was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.