Active NPI
Mel Medic, LLC
- Family Medicine Physician
- Kansas City, KS
National Provider Identifier
1902446420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEL MEDIC, LLC
- Practice address
- 1610 Washington Blvd
Kansas City, KS 66102-2842 - Phone
- (419) 631-0848
- NPI assigned
- Jan 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Antoinette Miller
- Title
- Authorized Official
- Phone
- (419) 631-0848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1610 Washington Blvd
Kansas City, KS 66102-2842
Mailing address
PO Box 512
Bonner Springs, KS 66012-0512
National Provider Directory
National Provider DirectoryLocations
128 Oak St
Ste C
Bonner Springs, KS 66012
Phone (877) 942-8808
128 Oak St
Ste B
Bonner Springs, KS 66012
Phone (419) 631-0848
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bonner Springs, KS
- NPI 1902559826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1902446420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512",
"city": "BONNER SPRINGS",
"state": "KS",
"postal_code": "660120512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 WASHINGTON BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661022842",
"telephone_number": "419-631-0848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEL MEDIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-13",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "ANTOINETTE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "419-631-0848"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.