Active NPI
Sadonna Devaney, MASTER'S DEGREE
- Developmental Therapist
- Blue Springs, MO
National Provider Identifier
1053660902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1315 SE Alice St
Blue Springs, MO 64014-3636 - Phone
- (816) 694-2166
- NPI assigned
- Sep 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | MO | Primary |
Addresses
Primary practice location
1315 SE Alice St
Blue Springs, MO 64014-3636
Mailing address
1315 SE Alice St
Blue Springs, MO 64014-3636
Phone (816) 694-2166
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1053660902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 SE ALICE ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640143636",
"telephone_number": "816-694-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 SE ALICE ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640143636",
"telephone_number": "816-694-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVANEY",
"first_name": "SADONNA",
"name_prefix": "Mrs.",
"credential": "MASTER'S DEGREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.