NPIMap

Organization Active NPI

Self Employed

  • Speech-Language Pathologist
  • Overland Park, KS
National Provider Identifier
1205224904
Registry record updated Jan 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2319 Issued in KS
Legal business name
SELF EMPLOYED
Practice address
11608 W 101St Ter
Overland Park, KS 66214-2710
Phone
(913) 484-7194
NPI assigned
Jan 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2015

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

Authorized official

Name
Mrs. Lezli R Carson, M.A., CCC-SLP, M.ED.NPI 1407958192
Title
Speech-Language Pathologist,
Phone
(913) 484-7194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2319 KS Primary

Addresses

Primary practice location

11608 W 101St Ter
Overland Park, KS 66214-2710

Mailing address

11608 W 101St Ter
Overland Park, KS 66214-2710
Phone (913) 484-7194

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420243200000",
    "number": "1205224904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 W 101ST TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142710",
            "telephone_number": "913-484-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11608 W 101ST TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142710",
            "telephone_number": "913-484-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EMPLOYED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-03",
        "last_updated": "2015-01-03",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "LEZLI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST,",
        "authorized_official_telephone_number": "913-484-7194",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP, M.ED."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; 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.