Mary Ellen Kantz, RN, BSN, CNOR, CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

044729 Issued in MO

Practice address

145 St. Peters Centre Blvd
Renaissance Plastic Surgery
St. Peters, MO 63376

Phone

(636) 896-0600

Fax

(636) 723-2000

NPI assigned

Sep 2, 2010

Sex

Female

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Executive Centre Surgical Services

  • Specialist
  • Saint Peters, MO
  • NPI 1003938887
  NPD (past)
• Renaissance Plastic Surgery Assoc Inc

  • Plastic Surgery Physician
  • St Peters, MO
  • NPI 1386675874
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1164739710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 W ADAMS",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633014603",
            "telephone_number": "636-724-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ST. PETERS CENTRE BLVD",
            "address_2": "RENAISSANCE PLASTIC SURGERY",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-896-0600",
            "fax_number": "636-723-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTZ",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CNOR, CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "044729",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "044729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L Kaestner, MA, LPC
• Joseph A Kahn, MD
• Jagjot Singh Kainth, DMD
• Kimberly S Kampeter
• Grace Kane
• Kelly Ann Karavousanos, LPC
• Kare Chiropractic Inc
• Karefirst Missouri PC
• Karen Maccausland, P.C.
• Kenneth Michael Kasper, D.C.

• Registered Nurse First Assistant in St. Peters, MO
• Providers in St. Peters, MO by specialty
• Registered Nurse First Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.