Active NPI
Melissa Roy Prestegard, RT (R)(MR)(CT)(M)
- Diagnostic Radiology Physician
- Leavenworth, KS
National Provider Identifier
1891604666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22-03486
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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.