Individual provider Active NPI

Elaine Williams, M.S., CF-SLP

  • Speech-Language Pathologist
  • Gardner, KS
National Provider Identifier
1033887245
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3723 Issued in KS
Practice address
218 E Shawnee St
Gardner, KS 66030-1394
Phone
(913) 856-3300
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3723 KS Primary

Addresses

Primary practice location

218 E Shawnee St
Gardner, KS 66030-1394

Mailing address

6901 Shawnee Mission Pkwy Ste 207
Overland Park, KS 66202-4082
Phone (888) 913-1910

Other practice location 1

17960 S Moonlight Rd
Gardner, KS 66030-9432
Phone (913) 856-3100

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

LicenseStateTypeSpecialty
3723KSMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1033887245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SHAWNEE MISSION PKWY STE 207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024082",
            "telephone_number": "888-913-1910",
            "fax_number": "877-913-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E SHAWNEE ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301394",
            "telephone_number": "913-856-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17960 S Moonlight Rd",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "KS",
            "postal_code": "660309432",
            "country_code": "US",
            "telephone_number": "913-856-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELAINE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.