Individual provider Active NPI

Mary Katherine Melton, CNM

  • Advanced Practice Midwife
  • Kansas City, MO
National Provider Identifier
1649201013
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2009038377 Issued in MO
Practice address
8380 N Tullis Ave Ste 300
Kansas City, MO 64158-5114
Phone
(816) 741-9122
Fax
(816) 841-9665
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 2019003450 MO
Advanced Practice Midwife 367A00000X 2009038377 MO Primary

Addresses

Primary practice location

8380 N Tullis Ave Ste 300
Kansas City, MO 64158-5114

Mailing address

8380 N Tullis Ave Ste 300
Kansas City, MO 64158-5114
Phone (816) 741-9122

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2009038377MOMDAdvanced Practice Midwife
2019003450MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Health Sciences Foundation Inc. Past Accepting new patients
Midwest Women'S Care, P.a. Past Accepting new patients
The Womens Healthcare Group PA PastSince Jan 1, 2001 Accepting new patients
College Park Family Care Center PA Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1649201013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 N TULLIS AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641585114",
            "telephone_number": "816-741-9122",
            "fax_number": "816-841-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 N TULLIS AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641585114",
            "telephone_number": "816-741-9122",
            "fax_number": "816-841-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2019003450",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2009038377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.