Active NPI
Anne Kathleen Wietharn, MA, CCC-SLP
- Speech-Language Pathologist
- Olathe, KS
National Provider Identifier
1174867691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1465
- Practice address
- 21250 W 151St St
Olathe, KS 66061-8100 - Phone
- (913) 390-0444
- NPI assigned
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1465 | KS | Primary |
Addresses
Primary practice location
21250 W 151St St
Olathe, KS 66061-8100
Mailing address
11201 Rene St Apt 903
Lenexa, KS 66215-4382
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1465 | KS | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1174867691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 RENE ST APT 903",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21250 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660618100",
"telephone_number": "913-390-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIETHARN",
"first_name": "ANNE",
"middle_name": "KATHLEEN",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.