Individual provider Active NPI

Carrie Leonhart Fratecelli, CCC-SLP

  • Speech-Language Pathologist
  • Manhattan, KS
National Provider Identifier
1427211333
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3147 Issued in KS
Practice address
800 Oakbrook PL
Manhattan, KS 66503-8476
Phone
(785) 274-9334
NPI assigned
Jul 10, 2008
Last updated
Mar 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X 3147 KS Primary

Addresses

Primary practice location

800 Oakbrook PL
Manhattan, KS 66503-8476

Mailing address

800 Oakbrook PL
Manhattan, KS 66503-8476
Phone (785) 274-9334

Other identifiers 1

IdentifierTypeStateIssuer
200564800BMedicaidKS

Other names 1

  • Carrie L Leonhart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129000352 KS Practitioner - Qualified Speech Language Pathologist 5092095588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flint Hills Neuropsychology, LLCGroup PAC ID 3375717606, 3 clinicians

Practice addresses (Care Compare)

512 Poyntz Ave
Suite 110
Manhattan, KS 66502-6040
Phone (785) 236-1180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3147KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Hills Neuropsychology, LLC CurrentSince Mar 9, 2022 Accepting new patients
Megan Oetinger Psy.D., LLC Past Accepting new patients

Locations

512 Poyntz Ave
Ste 110
Manhattan, KS 66502
Phone (785) 236-1180

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1427211333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAKBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038476",
            "telephone_number": "785-274-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAKBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038476",
            "telephone_number": "785-274-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATECELLI",
        "first_name": "CARRIE",
        "middle_name": "LEONHART",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200564800B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LEONHART",
            "middle_name": "L",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.