Active NPI
Audrey Boessen
- Occupational Therapist
- Leawood, KS
National Provider Identifier
1366324873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Nicholas Children'S Therapies LLC | Occupational Therapist | Past | 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.
-
- Occupational Therapist
- Roeland Park, KS
- NPI 1285626937
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.