Active NPI
Shayna Emmelina Messick, SLP
- Speech-Language Pathologist
- Overland Park, KS
National Provider Identifier
1336886647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 7819 Conser PL
Overland Park, KS 66204-2820 - Phone
- (913) 789-9900
- NPI assigned
- May 18, 2022
- Last updated
- May 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
7819 Conser PL
Overland Park, KS 66204-2820
Mailing address
7819 Conser PL
Overland Park, KS 66204-2820
Phone (913) 789-9900
Other names 1
- Shayna Emmelina Charles
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medicalrecords@mindsmatterllc.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minds Matter, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7819 Conser Pl
Overland Park, KS 66204
Phone (913) 789-9900
3965 W 83rd St
Prairie Vlg, KS 66208
Phone (913) 258-5322
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": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1336886647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7819 CONSER PL",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042820",
"telephone_number": "913-789-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 CONSER PL",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042820",
"telephone_number": "913-789-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSICK",
"first_name": "SHAYNA",
"middle_name": "EMMELINA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medicalrecords@mindsmatterllc.com",
"affiliation": "N",
"endpointDescription": "Medical Records Department",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7819 Conser Pl",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662042820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHAYNA",
"last_name": "CHARLES",
"middle_name": "EMMELINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.