Active NPI
Kimberlee Sue Quade, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Shawnee Mission, KS
National Provider Identifier
1508091356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 636
- Practice address
- 10000 W 75TH St
Suite 121
Shawnee Mission, KS 66204-2209 - Phone
- (913) 362-7518
- Fax
- (913) 362-7302
- NPI assigned
- May 22, 2009
- 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 | 636 | KS | Primary |
Addresses
Primary practice location
10000 W 75TH St
Suite 121
Shawnee Mission, KS 66204-2209
Mailing address
10202 W 92ND PL
Overland Park, KS 66212-4907
Phone (913) 541-9688
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 636 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1508091356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10202 W 92ND PL",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662124907",
"telephone_number": "913-541-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W 75TH ST",
"address_2": "SUITE 121",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042209",
"telephone_number": "913-362-7518",
"fax_number": "913-362-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUADE",
"first_name": "KIMBERLEE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "636",
"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 May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.