Active NPI
Restore Balance Integrative Wellness
- Family Nurse Practitioner
- Columbia, MO
National Provider Identifier
1205788304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RESTORE BALANCE INTEGRATIVE WELLNESS
- Practice address
- 2705 Bristol Lake Dr
Columbia, MO 65201-7512 - Phone
- (573) 823-9247
- NPI assigned
- Feb 11, 2026
- Last updated
- Feb 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa R Koga, FNP-BC
- Title
- Owner
- Phone
- (573) 823-9247
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
2705 Bristol Lake Dr
Columbia, MO 65201-7512
Mailing address
2705 Bristol Lake Dr
Columbia, MO 65201-7512
Phone (573) 823-9247
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Critical Care Medicine Nurse Practitioner
- Columbia, MO
- NPI 1922356294
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770768000000",
"number": "1205788304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 BRISTOL LAKE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017512",
"telephone_number": "573-823-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 BRISTOL LAKE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017512",
"telephone_number": "573-823-9247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE BALANCE INTEGRATIVE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A",
"authorized_official_last_name": "KOGA",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-823-9247",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
- Andrew G Resnik, M.D.
- Ressel Family Dentistry LLC (Bohon and Ressel Family Dentistry)
- Grant John Ressel, D.D.S.
- Restoration Chiropractic LLC
- Restoration Eyecare LLC (Restoration Eye Care)
- Retina Associates of Mid Missouri, LLC
- Retina Associates of Missouri, P.C.
- Beth R Reule, RD, CSP, LD
- Carin E Reust, MD
- Sara Revelle, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.