Active NPI
Callie Templeton O'Donnell, CCC-SLP
- Speech-Language Pathologist
- Lee's Summit, MO
National Provider Identifier
1023507423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2018001158
- Practice address
- 501 SE Todd George Pkwy
Lees Summit, MO 64063-4404 - Phone
- (816) 986-2280
- NPI assigned
- May 2, 2018
- Last updated
- Feb 7, 2020
- 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 | 2018001158 | MO | Primary |
Addresses
Primary practice location
501 SE Todd George Pkwy
Lees Summit, MO 64063-4404
Mailing address
501 SE Todd George Pkwy
Lees Summit, MO 64063-4404
Phone (816) 986-2280
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018001158 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School Harrisonville Publ | Speech-Language Pathologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Harrisonville, MO
- NPI 1801936687
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1023507423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SE TODD GEORGE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634404",
"telephone_number": "816-986-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SE TODD GEORGE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634404",
"telephone_number": "816-986-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "CALLIE",
"middle_name": "TEMPLETON",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2018001158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.