Samantha Shrout, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

01073 Issued in KS

Practice address

620 S Rogers Rd
Olathe, KS 66062-1704

Phone

(913) 324-3849

Fax

(913) 780-3387

NPI assigned

Feb 10, 2023

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1528765443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S ROGERS RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621706",
            "telephone_number": "913-780-3387",
            "fax_number": "913-780-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S ROGERS RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621704",
            "telephone_number": "913-324-3849",
            "fax_number": "913-780-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROUT",
        "first_name": "SAMANTHA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "01073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Nicole Shipps, DC
• Sherri E Shooks, LMSW
• Shannon Short
• Anna Merrell Shorten, DPT
• Shyam M Shridharani, MD
• Joyce Shulfer, PT
• Esther Shull, APRN, FNP-BC
• Lillian Siebert, LPC-T
• Mark S. Siegmund, LPC, LCPC
• Signature Medical Group of KC, PA

• Behavior Analyst in Olathe, KS
• Providers in Olathe, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.