MRS. MELANIE RENEE SHAW KOVARIK (NPI# 1821069980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821069980 |
Entity Type | Individual |
Full Name | MRS. MELANIE RENEE SHAW KOVARIK |
Credential | ARNP, BC |
Practice Address |
1400 E North Ave Belton MO 64012-5110 |
Mailing Address |
329 Se Canter Cir Lees Summit MO 64082-8218 |
Practice Telephone | 8668253227 |
Mailing Telephone | 8163660063 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2011-03-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
096676 | MO | Nursing Service Providers |
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
14-80040-071 | KS | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
096676 | MO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
45403 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 201019551 | 05 |
Street Address |
1400 E NORTH AVE |
City | BELTON |
State | MO |
Zip Code | 64012-5110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972846947 | Jennifer Kellinger | Nurse Practitioner | 1400 E North Ave, Belton, MO 64012 | 2013-03-28 |
1366795643 | Adam Mcneil | Pharmacist | 1400 E North Ave, Belton, MO 64012-5110 | 2012-10-24 |
1811274020 | Roger Kyle Stephenson | Pharmacist | 1400 E North Ave, Belton, MO 64012-5110 | 2011-11-16 |
1124308762 | Karen Elizabeth Shriner | Pharmacist | 1400 E North Ave, Belton, MO 64012-5110 | 2011-08-26 |
1427063445 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1400 E North Ave, Belton, MO 64012-5110 | 2006-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
1518400290 | Ti-carnegie Village, LLC | Skilled Nursing Facility | 105 Bernard Drive, Belton, MO 64012 | 2016-11-29 |
1720432305 | Erin Washington | Specialist/Technologist | 801 W. North Ave, Belton, MO 64012 | 2016-04-20 |
1558726844 | Catherine Smith | Specialist/Technologist | 17065 Us-71, Belton, MO 64012 | 2015-12-31 |
1982077673 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 630 E. Markey Parkway, Belton, MO 64012 | 2015-11-04 |
1326484858 | Amanda Mccune | Nurse Practitioner | 1400 E. North Avenue, Belton, MO 64012 | 2013-05-10 |
1376895094 | Alex Sharifian,dds,. Belton Modern Dentistry, P.c | Dentist | 1731 East North Avenue, Belton, MO 64012 | 2012-10-04 |
1912260910 | Lindsey Belt Emergency Physicians, LLC | Emergency Medicine | 17065 S. 71 Highway, Belton, MO 64012 | 2012-06-25 |
1376810598 | Erica Renee Bourbon | Nurse Practitioner | 17065 S. 71 Hwy, Belton, MO 64012 | 2011-11-17 |
1790073450 | Dale David Laird | Ophthalmology | 30 Hever Knoll, Loch Lloyd, MO 64012 | 2011-07-15 |
Find all providers in zip 64012 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497292 | Wendy Fair | Nurse Practitioner | 2117 Jefferson Ct S, Belton, TX 76513-1382 | 2020-11-03 |
1053928903 | Amy H Ash | Nurse Practitioner | 109 Vining Xing, Belton, SC 29627-8281 | 2020-09-24 |
1396380283 | Cortney Shantres Ellis | Nurse Practitioner | 110 Evans Dr, Belton, SC 29627-9464 | 2019-11-14 |
1174189732 | Bobby Bruce | Nurse Practitioner | 123 E 9th Ave, Belton, TX 76513 | 2019-05-19 |
1013431535 | Christina Nanette Keith | Nurse Practitioner | 4661 Windbell St, Belton, TX 76513-4960 | 2017-07-26 |
1679953509 | Jayne Jennings Dunlap | Nurse Practitioner | 1001 Arbor Park Drive, Belton, TX 76513 | 2015-06-05 |
1164827788 | Mary Kathleen Mcqueen | Nurse Practitioner | 17065 S 71 Hyw, Belton, MO 64012-2165 | 2014-10-24 |
1447668637 | Joella Racheal Gibbs-stiles | Nurse Practitioner | 2210 Holland Rd, Belton, TX 76513 | 2014-07-31 |
1326484858 | Amanda Mccune | Nurse Practitioner | 1400 E. North Avenue, Belton, MO 64012 | 2013-05-10 |
1598953572 | Marilyn Hickson | Nurse Practitioner | 518 Kinney Dr, Belton, TX 76513-1411 | 2007-10-04 |
Find all providers in BELTON |
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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.