Provider Demographics
NPI:1003882101
Name:REED, MELANIE J (APRN)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:J
Last Name:REED
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8919 PARALLEL PARKWAY
Mailing Address - Street 2:EAST TOWER, SUITE 580
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112
Mailing Address - Country:US
Mailing Address - Phone:913-596-7224
Mailing Address - Fax:913-596-7257
Practice Address - Street 1:8919 PARALLEL PARKWAY
Practice Address - Street 2:EAST TOWER, SUITE 580
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112
Practice Address - Country:US
Practice Address - Phone:913-596-7224
Practice Address - Fax:913-596-7257
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45439363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200262860Medicaid
KSJ64D407Medicare PIN
KS161335Medicare PIN
Q26088Medicare UPIN
KS200262860Medicaid