Active NPI
Michele Todtfeld
- Speech-Language Pathologist
- Shawnee Mission, KS
National Provider Identifier
1295745123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1888
- Practice address
- 10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241 - Phone
- (913) 362-7518
- Fax
- (913) 362-7302
- NPI assigned
- Aug 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 100471 | MO | |
| Speech-Language Pathologist | 235Z00000X | 1888 | KS | Primary |
Addresses
Primary practice location
10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241
Mailing address
10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241
Phone (913) 362-7518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465062503 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1888 | KS | MD | Speech-Language Pathologist |
| 100471 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a King Ma & Associates Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
10000 W 75th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 362-7518
5301 Harry S Truman Dr
Grandview, MO 64030
Phone (816) 433-4618
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Shawnee Mission, KS
- NPI 1942408950
MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1295745123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 W 75TH ST STE 121",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042241",
"telephone_number": "913-362-7518",
"fax_number": "913-362-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W 75TH ST STE 121",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042241",
"telephone_number": "913-362-7518",
"fax_number": "913-362-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODTFELD",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "100471",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465062503",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.