MELISSA ANN DUSENBERRY


Address: 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673
Phone: 9139562250

MELISSA ANN DUSENBERRY (NPI# 1174160485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174160485
Entity Type Individual
Full Name MELISSA ANN DUSENBERRY
Credential APRN
Practice Address 1000 Carondelet Dr
Ste 201b
Kansas City
MO 64114-4673
Mailing Address 1000 Carondelet Dr
Provider Enrollment/med Staff Ofc
Kansas City
MO 64114
Practice Telephone 9139562250
Practice Fax Number 9139562251
Mailing Telephone 8169435744
Enumeration Date 2019-12-05
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 2019036525 MO Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 53-79077-062 KS Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2019036525 MO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 Carondelet Dr, Kansas City, MO 641144673 9139562250
4801 College Blvd, Leawood, KS 662111628 9139562250

Office Location

Street Address 1000 CARONDELET DR
STE 201B
City KANSAS CITY
State MO
Zip Code 64114-4673

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558363838 Carondelet Emergency Physicians Inc Emergency Medicine 1000 Carondelet Dr, Kansas City, MO 64114-4673 2005-06-01
1871117465 Kensey Demoss Speech-Language Pathologist 1000 Carondelet Dr, Kansas City, MO 64114-4673 2020-05-30
1447882345 Sean Hudson Pharmacist 1000 Carondelet Dr, Kansas City, MO 64114-4673 2020-02-08
1174162556 Alexandra Rozman-o'neill Pharmacist 1000 Carondelet Dr, Kansas City, MO 64114-4673 2020-01-02
1992344691 Mary Davidson Pharmacist 1000 Carondelet Dr, Kansas City, MO 64114-4673 2019-12-27
1053959825 Fadia Khuffash Pharmacist 1000 Carondelet Dr, Kansas City, MO 64114-4673 2019-12-12
1144868969 Amanda K Howell Nurse Practitioner 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 2019-12-11
1821578501 Amanda Hocker Clinical Nurse Specialist 1000 Carondelet Dr, Kansas City, MO 64114-4673 2018-08-21
1336634294 Amanda K Goldsmith Nurse Practitioner 1000 Carondelet Dr, Kansas City, MO 64114-4673 2018-06-24
1376031757 Prime Healthcare Services - Kansas City LLC Psychiatric Unit 1000 Carondelet Dr, Kansas City, MO 64114-4673 2018-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164055968 Nova Home Infusion, LLC Home Infusion 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 2020-02-20
1770011017 Rene Thomsen Counselor 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 2017-05-31
1114452075 Accent Home Health Care LLC In Home Supportive Care 7817 Wornall Rd, Kansas City, MO 64114 2017-04-27
1174982599 Mei Dodson Contractor 8901 Washington St, Kansas City, MO 64114 2016-02-12
1851784805 Sarah Jeannette Gulledge Registered Nurse 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 2015-03-16
1376936591 Corey Bess Podiatrist 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 2015-03-12
1013339753 Kati Mayer Physical Therapist 10008 Walnut Dr., #202, Kansas City, MO 64114 2014-01-15
1619270311 Gavett Burch Marriage & Family Therapist 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 2010-12-18
1679873046 Ken Kidd Inc Dba Miracle-ear Hearing Instrument Specialist 1148 W. 103rd St, Kansas City, MO 64114 2010-11-01
1316264161 Elizabeth Vasquez Physician Assistant 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 2010-05-03
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1861968612 Nasir Gebi Nurse Practitioner 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 2018-10-19
1457839573 Robert Claude Kamtio Kamgoum Nurse Practitioner 406 W 34th St Ste 428, Kansas City, MO 64111-3113 2018-07-31
1568434173 Carol Ann Dickerson Nurse Practitioner 8301 State Line Rd, #100, Kansas City, MO 64114-2025 2006-02-07
1053778787 Kelly Bush Nurse Practitioner 4400 Broadway, Suite 520, Kansas City, MO 64111-3498 2016-01-26
1598122863 Elizabeth B Kay Nurse Practitioner 1500 Meadow Lake Pkwy, Ste 200, Kansas City, MO 64114-1600 2016-01-18
1568573103 Joseph Caraway Nurse Practitioner 5400 N Oak Trfy, Ste 100, Kansas City, MO 64118-6489 2006-08-31
1063454452 Jacquelyn E Boan Nurse Practitioner 11201 Colorado Ave, Kansas City, MO 64137-2502 2006-06-12

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1023632932 Rebecca Theresa Medlock Nurse Practitioner 736 Marco Valley Ct, Fenton, MO 63026-5318 2020-06-05
1083233274 Gina Hart Nurse Practitioner 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 2020-04-08
1215569512 Nicole M Wikoff Nurse Practitioner 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 2020-02-05
1124658257 Amadu Barrie Nurse Practitioner 134 Midland Avenue, Maryland Heights, MO 63043 2020-01-16
1922569995 Sarah Regan Nurse Practitioner 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 2019-03-30
1437615044 Ashley M Berneking Nurse Practitioner 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 2019-02-19
1174094072 Michelle Kay Bank Nurse Practitioner 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 2018-12-17
1639613813 University of Missouri Nurse Practitioner 1100 Virginina Ave, Columbia, MO 65212-0001 2016-12-07
1962869990 Fatma Esen Antakli Nurse Practitioner Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 2016-01-21
1386995595 Kristina M Nelson Nurse Practitioner 5225 Mid America Plz, Saint Louis, MO 63129-0002 2012-09-27
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Competitor

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City KANSAS CITY
Zip Code 64114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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