Individual provider Active NPI

Devon Frances Andra

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1265953962
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4918 Issued in KS
Practice address
1820 N Tyler Rd
Wichita, KS 67212-4902
Phone
(316) 706-4591
NPI assigned
Jul 3, 2017
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4918 KS Primary

Addresses

Primary practice location

1820 N Tyler Rd
Wichita, KS 67212-4902

Mailing address

2313 E Summerwood St
Goddard, KS 67052-8658
Phone (316) 706-4591

Other names 1

  • Devon Allen 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4918KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eat Play Communicate, LLC Speech-Language Pathologist CurrentSince Mar 26, 2023 Accepting new patients

Locations

1820 N Tyler Rd
Wichita, KS 67212
Phone (316) 531-9110

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1265953962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 E SUMMERWOOD ST",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528658",
            "telephone_number": "316-706-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124902",
            "telephone_number": "316-706-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRA",
        "first_name": "DEVON",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 24, 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.