Individual provider Active NPI

Amanda Kinsey, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Kansas City, MO
National Provider Identifier
1093088007
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2825 Issued in KS
Practice address
4848 Woodland Ave
Kansas City, MO 64110
Phone
(816) 418-2475
NPI assigned
Feb 22, 2012
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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 2825 KS Primary

Addresses

Primary practice location

4848 Woodland Ave
Kansas City, MO 64110

Mailing address

1329 NE 108TH St
Kansas City, MO 64155-1556

Other practice location 1

1415 Maple St
Eudora, KS 66025-9419
Phone (785) 542-2176

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

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1093088007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 NE 108TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 WOODLAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64110",
            "telephone_number": "816-418-2475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Maple St",
            "address_purpose": "LOCATION",
            "city": "Eudora",
            "state": "KS",
            "postal_code": "660259419",
            "country_code": "US",
            "telephone_number": "785-542-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "AMANDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.