Individual provider Active NPI

Amanda Briones, CCC-SLP

  • Speech-Language Pathologist
  • Olathe, KS
National Provider Identifier
1245514280
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4121 Issued in KS
Practice address
12814 S Blackfoot Dr
Olathe, KS 66062-1414
Phone
(816) 729-5213
NPI assigned
Oct 10, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2011009758 MO
Speech-Language Pathologist 235Z00000X 4121 KS Primary

Addresses

Primary practice location

12814 S Blackfoot Dr
Olathe, KS 66062-1414

Mailing address

12814 S Blackfoot Drive
Olathe, KS 66062
Phone (816) 729-5213

Other practice location 1

6608 Raytown Rd
Raytown, MO 64133-5265
Phone (816) 268-7000

Other names 1

  • Amanda Claxon Former name

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
4121KSMDClinical Social Worker
2011009758MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
School District 2 Raytown Consolidated Past Accepting new patients

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": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245514280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12814 S BLACKFOOT DRIVE",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "816-729-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12814 S BLACKFOOT DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621414",
            "telephone_number": "816-729-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6608 Raytown Rd",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641335265",
            "country_code": "US",
            "telephone_number": "816-268-7000",
            "fax_number": "816-268-7019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "AMANDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011009758",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CLAXON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 21, 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.