Provider Demographics
NPI:1306535208
Name:MEATS, CARI
Entity type:Individual
Prefix:
First Name:CARI
Middle Name:
Last Name:MEATS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:
Other - Last Name:DIERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNAP
Mailing Address - Street 1:15613 PEBBLE TER
Mailing Address - Street 2:
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-9313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 RAVENHILL DR
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-9204
Practice Address - Country:US
Practice Address - Phone:913-367-2131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-05
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS43-558092367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered