MELISSA JEAN GUSTAFSON (NPI# 1316505670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316505670 |
| Entity Type | Individual |
| Full Name | MELISSA JEAN GUSTAFSON |
| Other Name | MELISSA JEAN WATSEK |
| Credential | RN, BSN, OCN, FNP |
| Practice Address |
8700 N Green Hills Rd Kansas City MO 64154-1910 |
| Mailing Address |
11300 Corporate Ave Lenexa KS 66219-1374 |
| Practice Telephone | 9135743520 |
| Practice Fax Number | 9135742612 |
| Mailing Telephone | 9135742314 |
| Mailing Fax Number | 9132743656 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
128550 | KS | Nursing Service Providers |
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
2014024546 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019023268 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420072547 | 05 | |
| KS | 201246680A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2750 Clay Edwards Dr # Ll010, North Kansas City, MO 641163237 | 9135741050 | 9135741055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| 1124574652 | Melissa Gustafson | Social Worker | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-08-25 |
| 1891176434 | Melissa Gustafson | Nurse Practitioner | 700 Welch Rd, Suite 301, Palo Alto, CA 94304-1502 | 2015-06-09 |
| 1508935180 | Melissa Marks Gustafson | Dentist | 3010 Baucom Rd, Ste 200, Charlotte, NC 28269-0983 | 2006-11-07 |
| Street Address |
8700 N GREEN HILLS RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64154-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960044 | Venkatadri C Beeki | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2005-08-31 |
| 1811443070 | Mikala Marie Lodder | Nurse Practitioner | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2016-08-28 |
| 1073990339 | Lauren T Schaeffer | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2015-05-06 |
| 1013282664 | Kimberly Kay Pluenneke | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2012-03-15 |
| 1790068591 | University of Kansas Hospital Authority | Pharmacy | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2011-09-28 |
| 1144542929 | Erin L Shonkwiler | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2010-02-22 |
| 1255561155 | Deepti Satelli | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2009-07-26 |
| 1063672012 | Marci Rachel Allen | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2008-06-12 |
| 1679757116 | Sue Ellen Breese | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2007-12-19 |
| 1104048933 | Melisa G Boersma | Radiology | 8700 N Green Hills Rd, Kansas City, MO 64154 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780737 | Aegis Group Practice LLC | Occupational Therapist | 9101 North Ambassador Drive, Kansas City, MO 64154 | 2019-06-25 |
| 1972042190 | Tiffany Springs Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 9191 N Ambassador Drive, Kansas City, MO 64154 | 2017-02-21 |
| 1922466804 | Brooke Tran | Occupational Therapist | 5901 Nw 88th St, Kansas City, MO 64154 | 2016-02-05 |
| 1346506862 | Francis Michael Goldshmid | 8765 N Ambassador Dr, Kansas City, MO 64154 | 2012-04-10 | |
| 1780991703 | Heiser Chiropractic and Acupuncture LLC | Acupuncturist | 9020 Nw Skyview Avenue, Kansas City, MO 64154 | 2010-09-13 |
| 1497929962 | Erin Elaine Cox | Family Medicine | 5844 Nw Barry Road, Suite 110, Kansas City, MO 64154 | 2008-04-16 |
| 1528185873 | Advanced Spinal Care | Chiropractor | 5819 Nw Barry Road, Kansas City, MO 64154 | 2007-03-23 |
| 1750411682 | Charles James Fredricks | Chiropractor | 5819 Nw Barry Rd, Kansas City, MO 64154 | 2007-03-07 |
| 1033270285 | Thomas L Crain | Dentist | 8530 N Green Hills Road, Kansas City, MO 64154 | 2006-12-12 |
| 1962571729 | Caring Nurses Home Health Agency Inc | Home Health | 5911 Nw Barry Road, Kansas City, MO 64154 | 2006-11-07 |
| Find all providers in zip 64154 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
| 1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
| 1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
| 1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
| 1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
| 1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
| 1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64154 |
Please comment or provide details below to improve the information on MELISSA JEAN GUSTAFSON.
| 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.