Individual provider Active NPI

Kacie Inderhees, MA-SLP CFY

  • Speech-Language Pathologist
  • Kansas City, KS
National Provider Identifier
1124780127
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3688 Issued in KS
Practice address
2220 N 59TH St
Kansas City, KS 66104-2821
Phone
(913) 627-5500
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 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 3688 KS Primary

Addresses

Primary practice location

2220 N 59TH St
Kansas City, KS 66104-2821

Mailing address

5100 Foxridge Dr Apt 634
Mission, KS 66202-1585
Phone (913) 956-8144

Other practice location 1

7000 W 121st St Ste 110
Overland Park, KS 66209-2011
Phone (913) 912-2174

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

State licenses

LicenseStateTypeSpecialty
3688KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1124780127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 FOXRIDGE DR APT 634",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021585",
            "telephone_number": "913-956-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N 59TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661042821",
            "telephone_number": "913-627-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 W 121st St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662092011",
            "country_code": "US",
            "telephone_number": "913-912-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDERHEES",
        "first_name": "KACIE",
        "credential": "MA-SLP CFY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.