Individual provider Active NPI

Kathryn Gardner-Rosica, M.ED.-SLP

  • Speech-Language Pathologist
  • Leawood, KS
National Provider Identifier
1497034490
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3897 Issued in KS
Practice address
6701 W 121St St Ste 1&2
Leawood, KS 66209
Phone
(913) 469-4210
NPI assigned
Aug 8, 2011
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 2202006362 VA
Speech-Language Pathologist 235Z00000X 3897 KS Primary

Addresses

Primary practice location

6701 W 121St St Ste 1&2
Leawood, KS 66209

Mailing address

6701 W 121St St Ste 1&2
Leawood, KS 66209-2003
Phone (913) 320-2266

Other practice location 1

2300 Cedarfield Pkwy
Genesis Rehab
Richmond, VA 23233-1936
Phone (804) 474-8844

Other names 1

  • Mrs. Kathryn M. Gardner-Rosica Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170308000832 KS Practitioner - Qualified Speech Language Pathologist 3870877087 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202006362VAMDSpeech-Language Pathologist

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, 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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1497034490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 W 121ST ST STE 1&2",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "913-320-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 121ST ST STE 1&2",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-469-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Cedarfield Pkwy",
            "address_2": "Genesis Rehab",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331936",
            "country_code": "US",
            "telephone_number": "804-474-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER-ROSICA",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "M.ED.-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006362",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GARDNER-ROSICA",
            "middle_name": "M.",
            "prefix": "MRS.",
            "credential": "M.ED-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.