Miranda Michelle Bonney, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2008029063 Issued in MO

Practice address

129 NE Parks View CT
Lees Summit, MO 64064-2353

Phone

(816) 588-3782

NPI assigned

Oct 12, 2007

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Outreach Therapies & Consulting, Inc.

  • Occupational Therapist
  • Lee's Summit, MO
  • NPI 1396828083

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1508054743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 SW MANOR LAKE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824182",
            "telephone_number": "660-232-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NE PARKS VIEW CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642353",
            "telephone_number": "816-588-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEY",
        "first_name": "MIRANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2008029063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Bognanno
• Raylyn Victoria Bollin, LMSW
• Laurel A Bondi, DPM
• Robert A Bondi, DPM
• Danette Bonecutter, FNP-C
• Lisa Lynn Boone, RN
• Boost Physical Therapy & Sport Perforance
• Boost Sports Performance, LLC (Boost Physical Therapy & Sports Performance)
• Amanda Le Booth, MD
• Guy Boots, RVT

• Speech-Language Pathologist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.