Provider Demographics
NPI:1801090014
Name:MESSINGER, CATHY LYNN (MSN, APRN)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LYNN
Last Name:MESSINGER
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:MISS
Other - First Name:CATHY
Other - Middle Name:LYNN
Other - Last Name:BOSWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, ARNP
Mailing Address - Street 1:20805 W 151ST ST
Mailing Address - Street 2:SUITE 400, THE DOCTORS BUILDING II
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7249
Mailing Address - Country:US
Mailing Address - Phone:913-780-4900
Mailing Address - Fax:913-780-0949
Practice Address - Street 1:20805 W 151ST ST
Practice Address - Street 2:SUITE 400, THE DOCTORS BUILDING II
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7249
Practice Address - Country:US
Practice Address - Phone:913-780-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-45637363L00000X
KS5345637041363LG0600X
MO147870363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
147870OtherNP LICENSE- MO
KS200308820BMedicaid
KS45637OtherNP LICENSE- KS- ADULT/GERIATRIC
MO1801090014Medicaid
MO1801090014Medicaid