Individual provider Active NPI

Kara L Peavey- McDonough, MA, CCC-SLP

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1285998831
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2869 Issued in KS
Practice address
2247 W Caroline St
Wichita, KS 67203-5653
Phone
(316) 519-1920
Fax
(316) 831-7753
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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 2869 KS Primary

Addresses

Primary practice location

2247 W Caroline St
Wichita, KS 67203-5653

Mailing address

2247 W Caroline St
Wichita, KS 67203-5653
Phone (316) 519-1920

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3502KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Every Child'S Voice, LLC Speech-Language Pathologist PastSince Feb 2, 2025 Accepting new patients
Speech Swallowing and Voice Center PA Speech-Language Pathologist PastSince Aug 1, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1285998831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 W CAROLINE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035653",
            "telephone_number": "316-519-1920",
            "fax_number": "316-831-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 W CAROLINE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035653",
            "telephone_number": "316-519-1920",
            "fax_number": "316-831-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVEY- MCDONOUGH",
        "first_name": "KARA",
        "middle_name": "L",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 26, 2025; 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.