Amber Kay Sullivan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2000167733 Issued in MO

Practice address

13428 Mount Tabor Rd
Odessa, MO 64076-7444

Phone

(816) 230-0026

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1174865687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13428 MOUNT TABOR RD",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640767444",
            "telephone_number": "816-230-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13428 MOUNT TABOR RD",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640767444",
            "telephone_number": "816-230-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AMBER",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2000167733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Lynn Steffen
• Elizabeth Stephenson, M.S.,CCC-SLP
• Lauren M Stephenson
• Jayneen Stigall, PLPC
• Carla A Struchtemeyer, RPH
• Sean Eric Surber, DPT
• Mairead Suthoff, ATC
• Alexandra C. Swinney, LCSW
• The FTB Group, Inc.
• TNT & Associates, Inc.

• Speech-Language Pathologist in Odessa, MO
• Providers in Odessa, 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 Mar 22, 2013; 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.