Individual provider Active NPI

Stephanie Marcia Knollhoff, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Lawrence, KS
National Provider Identifier
1366714818
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3563 Issued in KS
Practice address
1200 Sunnyside Ave
2101 Haworth
Lawrence, KS 66045-7600
Phone
(785) 864-4690
Fax
(785) 864-5094
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2009019319 MO
Speech-Language Pathologist 235Z00000X 3563 KS Primary

Addresses

Primary practice location

1200 Sunnyside Ave
2101 Haworth
Lawrence, KS 66045-7600

Mailing address

1200 Sunnyside Ave
2101 Haworth
Lawrence, KS 66045-7600
Phone (785) 864-4690

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

LicenseStateTypeSpecialty
3563KSMDSpeech-Language Pathologist
2009019319MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1366714818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SUNNYSIDE AVE",
            "address_2": "2101 HAWORTH",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457600",
            "telephone_number": "785-864-4690",
            "fax_number": "785-864-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SUNNYSIDE AVE",
            "address_2": "2101 HAWORTH",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457600",
            "telephone_number": "785-864-4690",
            "fax_number": "785-864-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLLHOFF",
        "first_name": "STEPHANIE",
        "middle_name": "MARCIA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2009019319",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.