Shamika Pegue

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2019039929 Issued in MO

Practice address

10502 N Ambassador Dr Ste 201
Kansas City, MO 64153-1291

Phone

(816) 608-1951

Fax

(800) 687-5070

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Autism Support Now, LLC

  • Behavior Analyst
  • Independence, MO
  • NPI 1033636956
  NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1356905400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 S CLIFF AVE STE 103",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556969",
            "telephone_number": "816-608-1958",
            "fax_number": "800-687-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 N AMBASSADOR DR STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531291",
            "telephone_number": "816-608-1951",
            "fax_number": "800-687-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUE",
        "first_name": "SHAMIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2019039929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peds, LLC
• Yolonda Monique Peeler
• Simon Ray Peery, D.C.
• Marcia Peetz
• Megan Marie Peffley-Stone, MD
• Berkley Peiker
• Leslie A Peirce, CRNA
• Richard Alan Pelaar, PLPC
• Katelynn Pellett
• Molly Crosby Pellettiere, C.A.S.A.C.

• Behavior Analyst in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.