Active NPI
Priscilla Rayburn Dipasquale, M.S.
- Speech-Language Pathologist
- Merriam, KS
National Provider Identifier
1023438314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 243
- Practice address
- 6700 Antioch Rd
Suite 120
Merriam, KS 66204-1497 - Phone
- (913) 652-9229
- Fax
- (888) 652-9198
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 243 | KS | Primary |
Addresses
Primary practice location
6700 Antioch Rd
Suite 120
Merriam, KS 66204-1497
Mailing address
12217 Farley St
Overland Park, KS 66213-1686
Phone (913) 481-3136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Health Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1124424981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1023438314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12217 FARLEY ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131686",
"telephone_number": "913-481-3136",
"fax_number": "888-652-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 ANTIOCH RD",
"address_2": "SUITE 120",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041497",
"telephone_number": "913-652-9229",
"fax_number": "888-652-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPASQUALE",
"first_name": "PRISCILLA",
"middle_name": "RAYBURN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.