Melanie Renee Shaw Kovarik, ARNP, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

096676 Issued in MO

Practice address

1400 E North Ave
Belton, MO 64012-5110

Phone

(866) 825-3227

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Goppert - Trinity Family Care, LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1922097013
  NPD (past)
• Georgia Anesthesia and Pain Managment

  • Anesthesiology Physician
  • Statesboro, GA
  • NPI 1053419044
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1821069980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SE CANTER CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640828218",
            "telephone_number": "816-366-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E NORTH AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125110",
            "telephone_number": "866-825-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVARIK",
        "first_name": "MELANIE",
        "middle_name": "RENEE SHAW",
        "name_prefix": "Mrs.",
        "credential": "ARNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KS",
            "license": "14-80040-071",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "096676",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "096676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201019551",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Kemp
• Kenny Kidd
• Alison Marie Kinney, PT, DPT
• Kirby J. Robinson, DDS of Missouri, LLC
• Sankar Reddy Kodidhi, MD
• Abie Kowa
• Fea Kowa
• Elizabeth Kreipe
• Ian Kuklenski, DDS
• Victor V Kutsar, DC

• Family Nurse Practitioner in Belton, MO
• Providers in Belton, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.