MELANIE JEAN FULLMER NPI 1467113852

NPI Information

NPI: 1467113852
Provider Name: MELANIE JEAN FULLMER
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
2790 CLAY EDWARDS DR STE 520
NORTH KANSAS CITY, MO
ZIP 64116
Phone: (816) 691-5198
Get Directions

Melanie Jean Fullmer is an acute care nurse practitioner in North Kansas City, MO. Melanie Jean Fullmer NPI is 1467113852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2790 CLAY EDWARDS DR STE 520
NORTH KANSAS CITY, MO
ZIP 64116-274
Phone: (816) 691-5198
Fax: (816) 346-7095

The NPI 1467113852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/6/2022 and was last updated on 2/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	2021051080	MISSOURI	No
2	363LA2100X	Nurse Practitioner	Acute Care	2022004714	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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