Individual provider Active NPI

Audrey Boessen

  • Occupational Therapist
  • Leawood, KS
National Provider Identifier
1366324873
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
5420 W 151St St
Leawood, KS 66224-8713
Phone
(913) 219-5696
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

5420 W 151St St
Leawood, KS 66224-8713

Mailing address

5205 Coventry Waye
Jefferson City, MO 65101-8286
Phone (573) 690-9569

Other practice location 1

3811 W 52nd St
Roeland Park, KS 66205-1458
Phone (913) 579-8556

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Nicholas Children'S Therapies LLC Occupational Therapist PastSince Oct 6, 2017 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1366324873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 COVENTRY WAYE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651018286",
            "telephone_number": "573-690-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W 151ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248713",
            "telephone_number": "913-219-5696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 W 52nd St",
            "address_purpose": "LOCATION",
            "city": "Roeland Park",
            "state": "KS",
            "postal_code": "662051458",
            "country_code": "US",
            "telephone_number": "913-579-8556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOESSEN",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.