Active NPI
Meghan Othick, MA, CCC-SLP
- Speech-Language Pathologist
- Ottawa, KS
National Provider Identifier
1356635452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1407
- Practice address
- 1100 W 15TH St
Ottawa, KS 66067-3953 - Phone
- (785) 242-5399
- NPI assigned
- Jun 6, 2011
- Last updated
- Jun 6, 2011
- 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 | 1407 | KS | Primary |
Addresses
Primary practice location
1100 W 15TH St
Ottawa, KS 66067-3953
Mailing address
1015 Firetree Ave
Baldwin City, KS 66006-4173
Phone (785) 594-2842
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407 | KS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1356635452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 FIRETREE AVE",
"city": "BALDWIN CITY",
"state": "KS",
"postal_code": "660064173",
"telephone_number": "785-594-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 15TH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673953",
"telephone_number": "785-242-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTHICK",
"first_name": "MEGHAN",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.