Organization Active NPI

Melissa a Stewart

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sikeston, MO
National Provider Identifier
1013274059
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MELISSA A STEWART
Practice address
106 Dacus Drive
Sikeston, MO 63801-3801
Phone
(573) 471-4219
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa A Stewart
Title
Owner/Administrator
Phone
(573) 471-4219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MO Primary

Addresses

Primary practice location

106 Dacus Drive
Sikeston, MO 63801-3801

Mailing address

106 Dacus Drive
Sikeston, MO 63801-3801
Phone (573) 471-4219

National Provider Directory

National Provider Directory
Tax ID family
Melissa a Stewart2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1013274059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DACUS DRIVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013801",
            "telephone_number": "573-471-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DACUS DRIVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013801",
            "telephone_number": "573-471-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA A STEWART",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "573-471-4219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.