Individual provider Active NPI

Melissa Roy Prestegard, RT (R)(MR)(CT)(M)

  • Diagnostic Radiology Physician
  • Leavenworth, KS
National Provider Identifier
1891604666
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22-03486 Issued in KS
Practice address
3550 S 4TH St
Leavenworth, KS 66048-5085
Phone
(913) 680-6297
Fax
(913) 680-6408
NPI assigned
Sep 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 22-03486 KS Primary

Addresses

Primary practice location

3550 S 4TH St
Leavenworth, KS 66048-5085

Mailing address

3550 S 4TH St
Leavenworth, KS 66048-5085
Phone (913) 680-6297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1891604666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485085",
            "telephone_number": "913-680-6297",
            "fax_number": "913-680-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485085",
            "telephone_number": "913-680-6297",
            "fax_number": "913-680-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTEGARD",
        "first_name": "MELISSA",
        "middle_name": "ROY",
        "credential": "RT (R)(MR)(CT)(M)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "22-03486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.