Southeast Kansas Speech Pathology Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2237 Issued in KS

Legal business name

SOUTHEAST KANSAS SPEECH PATHOLOGY SERVICES, LLC

Practice address

1800 E 4TH St
Suite B
Pittsburg, KS 66762-8573

Phone

(620) 232-2990

Fax

(620) 232-2844

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Gentry A White, MA CCC-SLPNPI 1033307459

Title

Owner

Phone

(620) 232-2990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gentry A. White, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Pittsburg, KS
  • NPI 1033307459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1487932760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 E 570TH AVE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628550",
            "telephone_number": "620-232-2990",
            "fax_number": "620-232-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 4TH ST",
            "address_2": "SUITE B",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628573",
            "telephone_number": "620-232-2990",
            "fax_number": "620-232-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS SPEECH PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GENTRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-232-2990",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith, DC
• Krista E Smith, RN
• Ryan Christopher Sorell, MD
• Randall J Southard, RPT
• Southeast Kansas Interlocal 637
• Southeast Kansas Surgical Group, PA
• Southerncare, Inc.
• Ethan Spore, DC
• Larry Spresser
• St. John'S Medical Group

• Speech-Language Pathologist in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.