Active NPI
Vicky Harak, MS
- Speech-Language Pathologist
- Independence, MO
National Provider Identifier
1043413974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2007004401
- Practice address
- 218 N Pleasant St
Independence School District
Independence, MO 64050-2655 - Phone
- (816) 521-2700
- Fax
- (816) 521-2999
- NPI assigned
- Jun 7, 2007
- 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 | 2007004401 | MO | Primary |
Addresses
Primary practice location
218 N Pleasant St
Independence School District
Independence, MO 64050-2655
Mailing address
218 N Pleasant St
Independence, MO 64050-2655
Phone (816) 521-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467488508 | Medicaid | MO |
Other names 1
- Vicky Carter
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 |
|---|---|---|---|
| 2007004401 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence School District | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Independence, MO
- NPI 1215077029
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1043413974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 N PLEASANT ST",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640502655",
"telephone_number": "816-521-2700",
"fax_number": "816-521-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 N PLEASANT ST",
"address_2": "INDEPENDENCE SCHOOL DISTRICT",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640502655",
"telephone_number": "816-521-2700",
"fax_number": "816-521-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAK",
"first_name": "VICKY",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2007004401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "467488508",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICKY",
"last_name": "CARTER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.