Individual provider Active NPI

Jamie Shalene Harlan, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Warrensburg, MO
National Provider Identifier
1659680320
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2010032529 Issued in MO
Practice address
215 S Ridgeview Dr
Warrensburg, MO 64093-2019
Phone
(660) 747-6013
Fax
(660) 747-3697
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2010032529 MO Primary

Addresses

Primary practice location

215 S Ridgeview Dr
Warrensburg, MO 64093-2019

Mailing address

30 SW 600TH Rd
Warrensburg, MO 64093-7545
Phone (417) 814-8992

Other practice location 1

10330 Hickman Mills Dr
Building 2
Kansas City, MO 64137-1618
Phone (816) 501-5138

Other names 1

  • Ms. Jamie Shalene Stogner Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2010032529MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1659680320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SW 600TH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640937545",
            "telephone_number": "417-814-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S RIDGEVIEW DR",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932019",
            "telephone_number": "660-747-6013",
            "fax_number": "660-747-3697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10330 Hickman Mills Dr",
            "address_2": "Building 2",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641371618",
            "country_code": "US",
            "telephone_number": "816-501-5138",
            "fax_number": "816-777-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "JAMIE",
        "middle_name": "SHALENE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2010032529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "STOGNER",
            "middle_name": "SHALENE",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.