Individual provider Active NPI

Nancy Overacker

  • Speech-Language Pathologist
  • Shawnee Mission, KS
National Provider Identifier
1487660445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
449 Issued in KS
Practice address
10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241
Phone
(913) 362-7518
Fax
(913) 362-7302
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 103211 MO
Speech-Language Pathologist 235Z00000X 449 KS Primary

Addresses

Primary practice location

10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241

Mailing address

10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241
Phone (913) 362-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151021001436 MO Practitioner - Qualified Speech Language Pathologist 3779805874 Reassigns benefits to 1 organization
I20151109002338 KS Practitioner - Qualified Speech Language Pathologist 3779805874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah a King Ma and Associates IncGroup PAC ID 9931091485, 19 clinicians

Practice addresses (Care Compare)

10000 W 75TH St
Suite 121
Shawnee Mission, KS 66204-2241
Phone (913) 362-7518

5301 Harry S Truman Dr
Grandview, MO 64030-1708
Phone (816) 531-5746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a King Ma & Associates Inc Speech-Language Pathologist CurrentSince Oct 16, 2014 Accepting new patients

Locations

10000 W 75th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 362-7518

5301 Harry S Truman Dr
Grandview, MO 64030
Phone (816) 433-4618

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487660445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 121",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042241",
            "telephone_number": "913-362-7518",
            "fax_number": "913-362-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 121",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042241",
            "telephone_number": "913-362-7518",
            "fax_number": "913-362-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERACKER",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "103211",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.