Active NPI
Dawn R Mesa
- Clinical Social Worker
- Garden City, KS
National Provider Identifier
1528397528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4277
- Practice address
- 503 N 6TH St Ste 104
Garden City, KS 67846-5558 - Phone
- (620) 277-6892
- NPI assigned
- Dec 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7284 | KS | |
| Clinical Social Worker | 1041C0700X | 4277 | KS | Primary |
Addresses
Primary practice location
503 N 6TH St Ste 104
Garden City, KS 67846-5558
Mailing address
PO Box 139
Garden City, KS 67846-0139
Phone (620) 277-6892
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7284 | KS | MD | Social Worker |
| 4277 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1528397528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 139",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678460139",
"telephone_number": "620-277-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N 6TH ST STE 104",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465558",
"telephone_number": "620-277-6892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESA",
"first_name": "DAWN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7284",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.