Active NPI
Melissa Ann Kocour, RPA
- Radiology Practitioner Assistant
- Atchison, KS
National Provider Identifier
1114245404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 10KS1404
- Practice address
- 800 Raven Hill Drive
Atchison, KS 66002 - Phone
- (913) 367-2131
- Fax
- (913) 674-2023
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 10KS1404 | KS | Primary |
Addresses
Primary practice location
800 Raven Hill Drive
Atchison, KS 66002
Mailing address
800 Raven Hill Drive
Atchison, KS 66002
Phone (913) 367-2131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10KS1404 | Other | KS | CBRPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10KS1404 | KS | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1114245404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 RAVEN HILL DRIVE",
"city": "ATCHISON",
"state": "KS",
"postal_code": "66002",
"telephone_number": "913-367-2131",
"fax_number": "913-674-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RAVEN HILL DRIVE",
"city": "ATCHISON",
"state": "KS",
"postal_code": "66002",
"telephone_number": "913-367-2131",
"fax_number": "913-674-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCOUR",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "KS",
"license": "10KS1404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBRPA",
"identifier": "10KS1404",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.