Edward Franklin Dullenty, RN BSNMA

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

085700 Issued in MO

Practice address

300 SE 2ND Street
Suite 100
Lees Summit, MO 64063

Phone

(816) 404-6193

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1114184892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 JEFFERSON STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 2ND STREET",
            "address_2": "SUITE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-404-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLENTY",
        "first_name": "EDWARD",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "credential": "RN BSNMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "085700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Francis Dugan, M.D.
• Emily Lynn Duggan, LPC
• Michael Duke, M.D.
• Mitchell J Dulin
• Dava Alyxandra Dull
• Jerod Duncan
• Rian B Dunkin, LPC, MA
• Jamie Durner, NBC-HWC
• Mary Beth Duryea, M.D.
• Ciara Dawn Dutton, OTR/L

• Adult Psychiatric/Mental Health Registered Nurse in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.