Melissa K Kossman, PHD, LAT, ATC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

118 College Drive #5122
Hattiesburg, MS 39406-2701

Phone

(919) 807-9077

NPI assigned

Sep 15, 2013

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1235565888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 E FORDHAM DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831913",
            "telephone_number": "919-807-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DRIVE #5122",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394062701",
            "telephone_number": "919-807-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSMAN",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "PHD, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT-0945",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Software",
            "affiliation": "N",
            "address_1": "118 College Drive #5122",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394062701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kisha L Knight, FNP-BC
• Virginia Claire Kolvites, DPT, PCS
• Erin Elizabeth Konves
• Jessica Kopf Cornett
• John Herrington Kosko, M.D.
• James B Kot, MD
• Libby Y C Kot, MD
• Sivarama Kotikalapudi, M.D.
• Henry Haolan Kou, MD
• Kurt Gregory Kratz, M.D.

• Health Educator in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Health Educator in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.