Organization Active NPI

Dew Aesthetics & Wellness, LLC.

  • Primary Care Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1285433656
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DEW AESTHETICS & WELLNESS, LLC.
Practice address
5900 Nieman Rd Ste 300
Shawnee, KS 66203-2906
Phone
(913) 368-9246
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Marisa Lynn Burdolski, APRNNPI 1033822333
Title
Medical Director
Phone
(913) 368-9246

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

5900 Nieman Rd Ste 300
Shawnee, KS 66203-2906

Mailing address

5900 Nieman Rd Ste 300
Shawnee, KS 66203-2906
Phone (913) 368-9246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1285433656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 NIEMAN RD STE 300",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032906",
            "telephone_number": "913-368-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 NIEMAN RD STE 300",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032906",
            "telephone_number": "913-368-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEW AESTHETICS & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "BURDOLSKI",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-368-9246",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.