Amanda Nicole Brown

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2019032692 Issued in MO

Practice address

6901 Shawnee Mission Pkwy Ste 207
Overland Park, KS 66202-4082

Phone

(888) 913-1910

NPI assigned

Aug 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1225685068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SHAWNEE MISSION PKWY STE 207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024082",
            "telephone_number": "888-913-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 N Gretchen St",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657149409",
            "country_code": "US",
            "telephone_number": "417-551-9367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "5418",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2019032692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "5418",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslyn Quick Brouillette, NP
• Brown Grantham Family Chiropractic PA
• Peggy Jean Brown-Grantham, D.C., P.A.
• Alexandra Brown
• Allen Jay Brown, CPTA
• Ashlee Brown, NP-C
• Cara Lynn Brown, FNP
• Ciena Brown
• Elizabeth Ashley Brown, MA CCC SLP
• Emily Megan Brown

• Speech-Language Pathologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.