1598344079 NPI number — MORGAN ELISE SAUCET AGACNP-BC

Table of content: MORGAN ELISE SAUCET AGACNP-BC (NPI 1598344079)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598344079 NPI number — MORGAN ELISE SAUCET AGACNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAUCET
Provider First Name:
MORGAN
Provider Middle Name:
ELISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
AGACNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RULLMANN
Provider Other First Name:
MORGAN
Provider Other Middle Name:
ELISE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1598344079
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
TUKHS: PULMONARY, CRITICAL CARE AND SLEEP MEDICINE
Provider Second Line Business Mailing Address:
3901 RAINBOW BLVD, MS 3007 SUDLER 4030
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66160
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-574-0258
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TUKHS: PULMONARY, CRITICAL CARE AND SLEEP MEDICINE
Provider Second Line Business Practice Location Address:
3901 RAINBOW BLVD, MS 3007 SUDLER 4030
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-574-0258
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  221282 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LC0200X , with the licence number: 53-81703-051 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)