Active NPI
Speech Swallowing and Voice Center PA
- Speech-Language Pathologist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2627
- Legal business name
- SPEECH SWALLOWING AND VOICE CENTER PA
- Practice address
- 13213 W 21St CT Ste 104
Wichita, KS 67235-9625 - Phone
- (316) 573-6802
- Fax
- (316) 721-2291
- NPI assigned
- Feb 20, 2009
- Last updated
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Lynn Kennedy, MS, CCC-SLP
- Title
- Owner
- Phone
- (316) 573-6802
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2627 | KS | Primary |
| Speech-Language Pathologist | 235Z00000X | 1412 | KS |
Addresses
Primary practice location
13213 W 21St CT Ste 104
Wichita, KS 67235-9625
Mailing address
13213 W 21St CT Ste 104
Wichita, KS 67235-9625
Phone (316) 573-6802
Other practice location 1
1861 N Rock Rd Ste 101
Wichita, KS 67206-1264
Phone (316) 358-9199
Other practice location 2
345 N Riverview St Ste 104
Wichita, KS 67203-4200
Phone (316) 201-6055
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003885570005 | Medicaid | KS | |
| 30003885570001 | Medicaid | KS | |
| 30003885570006 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13213 W 21st Ct N
#104
Wichita, KS 67235
Phone (316) 295-6845
151 N Ridge Rd
Ste 6
Wichita, KS 67212
Phone (316) 779-2560
345 N Riverview St
Ste 104
Wichita, KS 67203
Phone (316) 201-6055
345 N Riverview St
Ste 550
Wichita, KS 67203
Phone (316) 201-6055
940 N Tyler Rd
Ste 101
Wichita, KS 67212
Phone (316) 215-4719
940 N Tyler Rd
Ste 201
Wichita, KS 67212
Phone (316) 247-6288
Practitioners & affiliated clinicians
Practitioners 35
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Wichita, KS
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- Speech-Language Pathologist
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- Speech-Language Pathologist
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- NPI 1154434991
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- Speech-Language Pathologist
- Wichita, KS
- NPI 1679131346
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1518314889
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1760193502
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1053066027
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1598903346
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1659026300
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1053196881
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1679460570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679356800000",
"number": "1255571964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13213 W 21ST CT STE 104",
"city": "WICHITA",
"state": "KS",
"postal_code": "672359625",
"telephone_number": "316-573-6802",
"fax_number": "316-721-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13213 W 21ST CT STE 104",
"city": "WICHITA",
"state": "KS",
"postal_code": "672359625",
"telephone_number": "316-573-6802",
"fax_number": "316-721-2291"
}
],
"practiceLocations": [
{
"address_1": "1861 N Rock Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672061264",
"country_code": "US",
"telephone_number": "316-358-9199",
"fax_number": "316-558-5361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 N Riverview St Ste 104",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672034200",
"country_code": "US",
"telephone_number": "316-201-6055",
"fax_number": "316-201-1765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPEECH SWALLOWING AND VOICE CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-573-6802",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2627",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1412",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003885570005",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003885570001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003885570006",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.