Cantrell O'Hare, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2005021710 Issued in MO

Practice address

111 NE Roanoke Dr
Blue Springs, MO 64014-1305

Phone

(816) 224-1390

Fax

(816) 224-1396

NPI assigned

Jun 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1124433172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NE ROANOKE DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141305",
            "telephone_number": "816-224-1390",
            "fax_number": "816-224-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NE ROANOKE DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141305",
            "telephone_number": "816-224-1390",
            "fax_number": "816-224-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "CANTRELL",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2005021710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northstar Residential Care, Inc.
• Northstar Residential Care, Inc.
• Ashley Notestine, LPC
• Novus Lifecare Hospice of Missouri LLC
• Novus Lifecare Palliative of Kansas City LLC
• Lawrence O'Renick, LPC
• Lola Winn O'Renick, PH.D.
• Gerald Wayne Ogilvie, DDS
• Linus Ogweno
• Ashley M Oldham, FNP

• Speech-Language Pathologist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.