Individual provider Active NPI

Natasha Collette Belcher

  • Orthotic Fitter
  • Shawnee, KS
National Provider Identifier
1154054369
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
C54108 Issued in MD
Practice address
10820 W 64TH St Ste 200
Shawnee, KS 66203-3571
Phone
(913) 486-1190
Fax
(913) 300-9624
NPI assigned
Jul 5, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X C54108 MD Primary

Addresses

Primary practice location

10820 W 64TH St Ste 200
Shawnee, KS 66203-3571

Mailing address

10820 W 64TH St Ste 200
Shawnee, KS 66203-3571
Phone (913) 486-1190

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
C54108MDMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
KC Shoe Stop, LLC Orthotic Fitter CurrentSince Jul 10, 2022 Accepting new patients

Locations

10820 W 64th St
Ste 200
Shawnee, KS 66203
Phone (816) 514-2367

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1154054369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 W 64TH ST STE 200",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033571",
            "telephone_number": "913-486-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 W 64TH ST STE 200",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033571",
            "telephone_number": "913-486-1190",
            "fax_number": "913-300-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "NATASHA",
        "middle_name": "COLLETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "MD",
            "license": "C54108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.