=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003290453
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRANSTREME, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2015
-----------------------------------------------------
Last Update Date | 11/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3135 PROSPECT AVE
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64128-1552
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-209-1237
-----------------------------------------------------
Fax | 816-577-5091
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5562 PHILADELPHIA ST STE 301
-----------------------------------------------------
City | CHINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91710-2499
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO
-----------------------------------------------------
Name | RICK MICHEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-589-5283
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | NP95002096
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------