Active NPI
Devon Frances Andra
- Speech-Language Pathologist
- Wichita, KS
National Provider Identifier
1265953962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4918
- Practice address
- 1820 N Tyler Rd
Wichita, KS 67212-4902 - Phone
- (316) 706-4591
- NPI assigned
- Jul 3, 2017
- Last updated
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4918 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eat Play Communicate, LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1356044622
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.