Savannah Autem

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2016023418 Issued in MO

Practice address

1908 Plumbers Way Ste 400
Liberty, MO 64068-7453

Phone

(913) 362-7518

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By 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.

• Deborah a King Ma & Associates Inc

  • Speech-Language Pathologist
  • Shawnee Mission, KS
  • NPI 1942408950
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1659914745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 121",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042241",
            "telephone_number": "913-362-7518",
            "fax_number": "913-362-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 PLUMBERS WAY STE 400",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687453",
            "telephone_number": "913-362-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTEM",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016023418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athletico LTD (Athletico Physical Therapy)
• Christopher T Atkins
• Wesley Atkinson-Smith
• Salem Atkinson
• Attigo Infusion Missouri LLC (Medix Infusion)
• Morgan Johnson Ayers, MD
• Adam Wallace Baca, M.D.
• Jill Bachman, M.S
• Deann L. Back, PLPC
• Alicia Baker, RBT

• Speech-Language Pathologist in Liberty, MO
• Providers in Liberty, 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 Oct 22, 2019; 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.