OrganizationActive
Esry Student Health Center Missouri Western State
NPI 1962859090 · Family Nurse Practitioner · Saint Joseph, MO
Provider details
- NPI number
- 1962859090
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Roderick, Nurse Practictioner(816) 271-4495
- License
- 138383 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4525 Downs Dr
Blum Union Room 203
Saint Joseph, MO 64507-2246
Phone: (816) 271-4495
Fax: (816) 271-4496
Street-level locationGet directions
Mailing address
4525 Downs Dr
Saint Joseph, MO 64507-2246
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.