Active NPI
Kathleen Marie Staley, M.A., CCC-SLP
- Speech-Language Pathologist
- Overland Park, KS
National Provider Identifier
1487612461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 758
- Practice address
- 5520 College Blvd
Overland Park, KS 66211-1630 - Phone
- (913) 696-8844
- NPI assigned
- May 1, 2006
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 758 | KS | Primary |
Addresses
Primary practice location
5520 College Blvd
Overland Park, KS 66211-1630
Mailing address
8605 Greenwood LN
Lenexa, KS 66215-4188
Phone (913) 310-0397
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
| License | State | Type | Specialty |
|---|---|---|---|
| 758 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1487612461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 GREENWOOD LN",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154188",
"telephone_number": "913-310-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 COLLEGE BLVD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111630",
"telephone_number": "913-696-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.