Active NPI
Belinda Kesterson, PC-A
- Medical Physician Assistant
- Springfield, MO
National Provider Identifier
1124347752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 960 E Walnut Lawn
Suite 201
Springfield, MO 65807 - Phone
- (417) 269-4450
- Fax
- (417) 269-8333
- NPI assigned
- May 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005013494 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- belinda.kesterson@cernerdirect.coxhealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary | ||
| Physician Assistant | 363A00000X | 2005013494 | MO |
Addresses
NPPES NPI RegistryPrimary practice location
960 E Walnut Lawn
Suite 201
Springfield, MO 65807
Mailing address
960 E Walnut Lawn
Suite 201
Springfield, MO 65807
Phone (417) 269-4450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2015.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1124347752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 E WALNUT LAWN",
"address_2": "SUITE 201",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65807",
"telephone_number": "417-269-4450",
"fax_number": "417-269-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E WALNUT LAWN",
"address_2": "SUITE 201",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65807",
"telephone_number": "417-269-4450",
"fax_number": "417-269-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTERSON",
"first_name": "BELINDA",
"name_prefix": "Mrs.",
"credential": "PC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-21",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2005013494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.